Radioactive compositions and methods for their therapeutic use

ABSTRACT

This invention concerns a pharmaceutically-acceptable composition of radioactive metals, which are used for treating various diseases in animals or humans, such as cancer and arthritis.

CROSS REFERENCE TO RELATED APPLICATIONS

This application is a divisional application from U.S. application Ser.No. 15/600,184, filed May 19, 2017 (pending), which is a divisionalapplication from U.S. application Ser. No. 14/367,758, filed Jun. 20,2014, now U.S. Pat. No. 9,687,574, issued Jun. 27, 2017, as a nationalphase application under 371 from international applicationPCT/US2012/071256, filed 21 Dec. 2012 (inactive), which claims benefitfrom two U.S. provisional applications, 61/578,630, filed Dec. 21, 2011and 61/606,734, filed Mar. 5, 2012 (both inactive).

FIELD OF THE INVENTION

The present invention concerns radioactive compositions when used forthe therapeutic treatment of various diseases, such as treatment ofundesirable tissue masses, for example bone cancer or soft tissuetumors, in mammals and humans by administration of a radioisotopecomposition directly to locations into or near a non-intracavitary areaof the undesired tissue mass, i.e., via intratumural, intramedullary orintraosseous injection, or treatment of arthritis by injection into thesynovial cavity.

BACKGROUND OF THE INVENTION

The treatment of various diseases using radioisotopes has been ofconcern for many years with various attempts to have effective treatmentto prolong the quality of life of the mammal or human. Variouscompositions have been tried previously for this purpose with varyingdegrees of success. Some of these attempts are discussed below.

Bone Cancer

According to the American Academy of Orthopaedic Surgeons, “More than1.2 million new cancer cases are diagnosed each year [in the US], andapproximately 50 percent of these tumors can spread or metastasize tothe skeleton.” Metastatic bone cancer therefore afflicts over 500,000patients in the US alone. Bone is the third most common site ofmetastatic disease. Cancers most likely to metastasize to bone includebreast, lung, prostate, thyroid and kidney. In many cases there aremultiple bone metastatic sites making treatment more difficult. Pain,pathological fractures and hypercalcemia are the major source ofmorbidity associated with bone metastasis. Pain is the most commonsymptom found in 70% of patients.

Primary bone cancer is much less prevalent (2,370 new cases and 1,330deaths estimated in the US for 2007), but it is much more aggressive.This type of cancer is more likely to occur in young patients.

In contrast to humans, primary bone cancer is more prevalent in dogsthan metastatic bone cancer. Large dogs frequently present with primarybone cancer.

Because of the aggressive nature of the disease, primary bone cancer inhumans and animals is often treated by amputation of the area affectedto prevent the cancer from spreading. In addition, chemotherapeuticagents are then used to decrease the chance of metastatic disease,especially to the lungs.

The pain associated with bone cancer, especially metastatic bone cancer,is often treated with narcotics. However, the patients have need forincreasing amounts of narcotics to control the pain. The deleteriousside effects of the narcotics result in a significant decrease in thepatient's quality of life.

Another method for treatment is external beam radiation or more recentlystereotactic radiotherapy of bone metastatic sites. However, currenttreatments with high energy electromagnetic radiation do not exclusivelydeliver radiation to the tumor. This treatment results in the necessityto administer the dose over about a week and has the difficultly ofgiving high doses of radiation to a tumor without having significantdamage resulting to surrounding tissue.

Intraoperative Radiation Therapy (IORT) has permitted localized tumordestruction, but this procedure is expensive and associated withsignificant trauma due to surgery.

The ability to target bone tumors has been exploited in the field ofradiopharmaceuticals for many years. Both diagnostic and therapeuticradiopharmaceuticals capable of targeting bone tumors generally usephosphonic acid functionality as the targeting moiety. For example,pyrophosphates have been used to deliver Tc-99m, a gamma-emittingdiagnostic radioisotope, to bone. This technology was displaced by thebisphosphonates because of their increased stability in vivo. Inaddition, therapeutic radiopharmaceuticals for bone tumors weredeveloped in the 1980's and 1990's. Of these, a series of chelates basedon aminomethylene-phosphonic acids offer another type of functionalityuseful for targeting bone tumors. Thusethylenediaminetetramethylenephosphonic acid (EDTMP) has been shown tobe a very good chelating agent for delivering metals such as Sm, Gd, Ho,and Y to the bone.

Two radiopharmaceuticals, both based on radioactive metals, are marketedin the United States for the treatment of bone metastases. Metastron®(trademark of GE Healthcare Ltd.) is an injectable solution ofstrontium-89 (Sr-89) given as its chloride salt. Quadramet® (trademarkof EUSA Pharma) is a phosphonic acid (EDTMP) chelate of samarium-153(Sm-153). Both of these agents concentrate in normal bone as well as inthe metastatic lesions. This gives a radiation dose to the bone marrowresulting in a temporary but significant suppression of the immunesystem. For that reason these agents are contraindicated whenchemotherapeutic agents are planned as a part of the patient'streatment. Thus a patient may suffer from bone pain while waiting toreceive a chemotherapeutic regimen for the primary cancer.

When these available chelates are injected intravenously, about 50% ofthe injected dose concentrates in the bone. The rest is efficientlycleared by the kidneys and into the bladder; however, because of thisclearance, toxicity to these organs has been observed when administeringlarge therapeutic doses of bone seeking radiopharmaceuticals. Althoughthe chelate concentration in the site of a bone tumor is as much as 20times that of normal bone, significant amounts of radioactivity aretaken up by normal bone. In addition, only a small fraction of theradiation dose is associated with the tumor. Because of the fast kidneyclearance and uptake in normal bone, only about 0.1% of the dose goes tothe site of the tumor. Administration of larger doses of bone agents islimited by the dose to the bone marrow.

An example of the bisphosphonate chelant, methylenediphosphonic acid(MDP), is shown in the structure below.

Two aminomethylenephosphonic acid chelants,ethylenediaminetetramethylenephosphonic acid (EDTMP) and1,4,7,10-tetraazacyclododecane-1,4,7,10-tetra(methylenephosphonic acid)(DOTMP), are shown in the structures below.

To date even combinations of treatments have not been effective atresolving bone tumors. Thus it is still common practice to amputate alimb to stop the spread of bone cancers. In the case of metastatic bonecancer, pain palliation and maintaining quality of life is often thegoal in contrast to resolution of the tumors. There clearly is a needfor more effective therapy to treat bone cancer.

Stannic (Sn(IV)-117m) chelates have been taught for the palliation ofpain from bony metastases and for the treatment and regression of bonecancer by localization of a portion of the radioactive dose in theskeletal system after intravenous injection or infusion. Sn(IV)-117mdecays with the emission of abundant conversion electrons of specificenergy of 127-129 keV and 152 keV with a half-life of approximately 14days. These conversion electrons have a range sufficient for irradiatingbone tumors, while imparting a smaller dose to the bone marrow versusbeta emitting radionuclides. Sn(IV)-117m also possesses an ideal 160 keVgamma emission and can be easily detected and imaged using conventionalgamma detectors and thus enables one to monitor the in vivobiodistribution of the isotope.

Srivastava et al. (U.S. Pat. Nos. 4,533,541 and 5,853,695) teachSn(IV)-117m chelates of methylenediphosphonate (MDP), pyrophosphate(PYP), ethylidenehydroxy disodium phosphonate (EHDP), anddiethylenetriaminepentaacetic acid (DTPA) as being capable of localizingin the skeletal system after intravenous injection or infusion.

Srivastava et al. (U.S. Pat. Nos. 6,231,832 and 6,503,477) teachSn(IV)-117m chelates of polyhydroxycarboxylates, such as oxalates,tartrates, citrates, malonates, gluconates, and glucoheptonates as beingcapable of localizing in the skeletal system after intravenous injectionor infusion.

Srivastava et al. (U.S. Pat. No. 6,004,532) teach the use of theSn(IV)-117m chelate of DTPA for palliation of bone pain associated withcancer and for the treatment of osseous tumors after intravenousinjection or infusion.

Atkins, et al., J. Nucl. Med. 36, 725-729 (1995), and Krishnamurthy, etal., J. Nucl. Med. 38, 230-237 (1997), each report on phase (II) studiesusing the Sn(IV)-117m DTPA chelate for pain palliation after intravenousinjection of the Sn(IV)-117m DTPA formulations.

Srivastava et al., Clin. Cancer Res. 4, 61-68 (1998), report on the useof Sn(IV)-117m DTPA in a phase I/II clinical study for the treatment ofmetastatic bone pain.

Clearly, there is still a need for a more effective therapy to treatbone pain and bone cancer.

Brachytherapy

In contrast to external beam radiotherapy, where an external beam ofradiation is directed to the treatment area, brachytherapy is a form ofradiotherapy where a radioactive source is placed inside or next to thearea requiring treatment. Conventional brachytherapy is sometimesreferred to as sealed source radiotherapy or endocurietherapy and iscommonly used to treat localized prostate cancer and cancers of the headand neck. Superficial tumors can be treated by placing sources close tothe skin. Interstitial brachytherapy is where the radioactive source isinserted into tissue. Intracavitary brachytherapy involves placing thesource in a pre-existing body cavity. Intravascular brachytherapy placesa catheter with the source inside blood vessels.

In most of these cases the radioactive material is sealed orencapsulated in a metal casing. Because of this casing, most of theradioactive sources are electromagnetic radiation (i.e., X-rays andgamma photons) emitting radionuclides such that the radiation canpenetrate the outer casing and deliver a radiation dose to surroundingtissue. Administration of the radioisotope without this encapsulationmay result in migration of the radioisotope to other areas of the body,which may create side effects in the patient. Particle emittingradionuclides such as beta (β) and alpha (α) emitters are rarely used inthis method because a significant portion of the dose would notpenetrate such metal casing. However, in many instances the gammaphotons penetrate beyond the desired treatment area, which results insignificant side effects. Therefore, a more specific method to deliverradiation is needed.

The prostate is a gland in the male reproductive system located justbelow the urinary bladder and in front of the rectum. It is about thesize of a walnut and surrounds the urethra. In 2007 the American CancerSociety estimated 218,890 new cases and 27,050 deaths due to prostatecancer in the US. Treatment options include surgery, external radiationtherapy, and brachytherapy. In many cases brachytherapy is the preferredchoice due to fewer traumas to surrounding tissues. However since theradioisotopes selected for this application are gamma (γ) emitters, theproblem of delivering an undesired radiation dose to surrounding tissueremains.

The radioactive sources used for conventional brachytherapy are sealed,for example, in “seeds,” wires, or encapsulated in a metal casing andare referred to as a sealed radioactive source. Conversely, a non-sealedradioactive source is one that is not sealed, for example, in seeds,wires, or encapsulated in a metal casing. Permanent prostatebrachytherapy involves implanting between 60 and 120 rice-sizedradioactive seeds into the prostate. One type of radioactive seed isbased on I-125 which has a 59.4 day half-life and emits multiple X-raysaround 30 keV. Recently a shorter half-life alternative has beenproposed with Cs-131 which has a 9.7 day half-life and emits X-rays ofabout 30 keV. Alternatively, Pd-103 is used which has a 17 day half-lifeand emits X-rays of about 20 keV. Another option is Ir-192 which has ahalf-life of 73.8 days and gamma emissions at 468 keV. Ir-192 can beused to give different doses to different parts of the prostate. Allthese isotopes emit electromagnetic radiation that penetrates beyond theprostate and into normal tissue causing problems such as impotence,urinary problems, and bowel problems. Although in most cases the seedsstay in place, seed migration does occur in a portion of patients,usually to the urethra or bladder.

In some cases, brachytherapy is used to destroy cancer cells left overafter a surgical procedure. For example, breast cancer patients can betreated with a technology by the name of MammoSite® Radiation TherapySystem (trademark of Hologic, Inc.). This involves a balloon catheterthat is inserted into the area of the breast where a tumor was removed.The balloon is expanded and radiation is delivered via a small beadattached to a wire. Similarly, the space surrounding a resected braintumor can be treated using a balloon catheter inflated with aradioactive solution of I-125. This technology is called GliaSite®Radiation Therapy System (e.g., trademark of Cytyc Corp.; U.S. Pat. No.6,315,979). In these cases the balloon prevents the radioactivity fromgoing systemic. Again, the radioisotopes used are those emittingpenetrating electromagnetic radiation (i.e., X-rays or gamma rays).

Beta emitting radioisotopes are being used in what could be categorizedas brachytherapy. For example, liver cancer has been treated with a formof brachytherapy. This technology called Selective Internal RadiationTherapy (SIRT) delivers radioactive particles to a tumor via the bloodsupply. The radioactive particles are positioned via a catheter in thehepatic artery, the portal vein, or a branch of either of these vessels.The catheter is guided to the branch of the blood vessel that feeds thetumor, and then the microspheres are infused. The radioactivemicrospheres become trapped in the capillary beds of the tumor and thesurrounding tissues, which method results in a more targeted radiationdose to the tumor. There are currently two products that take thisapproach, both are microspheres labeled with Y-90, TheraSphere®(trademark of MDS Nordion, Inc.), and SIR-Spheres® (trademark of SIRTeX®Medical). TheraSpheres are glass microspheres which have a diameter of25±10 μm so they are trapped mainly within tumor terminal arterioles,which are estimated to have a diameter of 8-10 μm. SIR-Spheres areresin-based microspheres that are approximately 32 μm in diameter. Oneconcern with both of these products is that a portion of the radioactivemicrospheres can migrate to other tissues such as the lungs and causeundesired side effects.

Ho-166 bound to chitosan has also been proposed to treat cancer cells.Thus J. Nucl. Med. 39(12), 2161-6 (1998 December) describes a method totreat liver cancer by administering this compound via the hepaticartery. However, “shunting” of radioactivity to the lung has again beena problem. In addition, it is a cumbersome technique to determine theblood supply to the tumor and to deliver the particles in the selectedblood vessels.

Kyker et al., Federation Proc. 13, 245-246 (1954), Lewin, et al., J.Nat. Cancer Inst. 15, 131-143 (1954), and Andrews et al., InternationalConference on the Peaceful Uses of Atomic Energy, 10, 122 (1956),describe attempts to treat cancer by forming radioactive colloids insitu in the body but with limited success.

Hyperthermia

Hyperthermia is a procedure where the temperature of a targeted part ofthe body is raised in order to destroy cancer cells. Usuallytemperatures in the approximate range of 42-46° C. are employed. Ironoxide magnetic particles have been used to obtain such a temperaturerange by the action of an externally applied magnetic field. The benefitthat the magnetic iron oxide particles bring is that the heating stepcan be localized at the site of the tumor(s). It has been reported thatthe “heating potential” of the particles is strongly dependent on thesize and shape of the particles so these parameters must be optimized. Aparticle size in the range of 10 to 50 nm is frequently used. EileenGribouski and Rafael Jaimes (The Use of Iron-oxide Nanoparticles forHyperthermia Cancer Treatment and Simultaneous MRI Monitoring—A majorQualifying Project Submitted to the Faculty Of Worcester PolytechnicInstitute, Apr. 30, 2009) have indicated that an effective tumortreatment involves “magnetic embolization hyperthermia” wherein magneticiron oxide particles are injected directly to the site of treatment.When the particles are exposed to an AC magnetic field, they absorbenergy and increase the temperature in the area of the magneticparticles. This technique is effective due to its high selectivity. Ithas been reported that the hyperthermia process needs to be administeredtogether with other cancer treatments [e.g., Pedro Tartaj et al., “ThePreparation of Magnetic Nanoparticles for Applications in Biomedicine,”J. Phys. D: Appl. Phys., 36, R182-R197 (2003)].

Arthritis

Rheumatoid arthritis is a prevalent disease characterized by chronicinflammation of the synovial membrane lining the afflicted joint. It isalso classified as an autoimmune disease. Multiple joints are ofteninvolved with rheumatoid arthritis. Current treatment methods for severecases of rheumatoid arthritis include the removal of the synovialmembrane, e.g., synovectomy. Surgical synovectomy has many limitationsincluding the risk of the surgical procedure itself and the fact that asurgeon often cannot remove all of the membrane. The diseased tissueremaining may eventually regenerate, causing the same symptoms which thesurgery was meant to alleviate.

Radiation synovectomy is radiation-induced ablation of diseased synovialmembrane tissue accomplished by injecting a radioactive compound intothe diseased synovium. Early attempts to perform radiation synovectomywere hampered by instability of the radioactive compositions utilizedand by leakage of such compounds from the synovium into surroundinghealthy tissues. The instability of labile radionuclide-complexesresulted in release of the radionuclide from the colloid complex andretention of the radionuclide in surrounding soft tissues. Significantleakage of the radioactive compound from the site of injection exposednormal tissues to dangerous levels or radiation. Because of theselimitations, new radiolabeled compositions were sought which would haveminimal leakage.

Deutch et al. (WO9105570 A1) teach the use of Re-188 or Re-186 attachedto albumin microspheres, sulfur colloids, or glass beads; Simon et al.teach the use of rare earth isotopes such as Sm-153, Ho-166, Y-90, andLu-177 adsorbed on a previously prepared particle (U.S. Pat. No.5,300,281); Day et al. (U.S. Pat. No. 4,889,707) teach the use of abiodegradable glass material containing a beta radiation emittingradioisotope; Brodack et al. (U.S. Pat. No. 5,320,824) teach particlesthat are attached to various radionuclides, and also teach that smallcolloidal particles of hydroxy apatite can aggregate into non-colloidalparticles and have utility for the treatment of arthritis; and Brodack,et al. (WO9701304 A1) teach the use of paramagnetic particles containingtherapeutic radionuclides.

Srivastava et al. (U.S. Pat. No. 6,231,832 B1 & 6,503,477 B1) teach theuse of different Sn(Sn⁴⁺)-117m chelates for the treatment of painresulting from various bone/joint disorders including rheumatoidarthritis and osteoarthritis. Preferred chelating agents includepolyhydroxycarboxylates such as oxalates, tartrates, citrates,malonates, gluconates and glucoheptonates.

Liberman et al. (U.S. Pat. No. 4,906,450) teach the use of theradionuclide Sn(II)-121 hydroxide in a carrier of ferric hydroxidemacroaggregate. In contrast to Sn(IV)-117m, Sn-121 does not possessgamma photons and is not easily detected and imaged using conventionalgamma detectors.

U.S. Pat. Nos. 4,752,464; 4,849,209 and 3,906,450 describe compositionscomprising a radioactive colloid in which a radionuclide is entrappedwithin an iron hydroxide matrix. The radioactive colloids are useful inradiation ablation procedures, for example, ablation of a diseasedsynovium in rheumatoid arthritis. However, the use of radioactivecolloids may still result in significant leakage of radioactivity fromthe site of injection, e.g., a synovium, and into the surrounding normaltissues, exposing normal tissues to an undesirable amount of radiation.To compensate for the leakage, a radioactive metal having a shorthalf-life, such as dysprosium-165 (Dy-165) with a half-life of 2.3hours, has been proposed for use as the therapeutic radionuclide.Because of its short half-life, the majority of Dy-165 radioactivitydecays before significant leakage can occur, thereby minimizing the doseof radiation to normal tissues.

However, the use of radioactive metals having a short half-life severelylimits the utility of the therapeutic radiation procedure in twosignificant ways. First, radioactive compositions prepared with shorthalf-life isotopes lose a significant amount of radioactivity because ofdecay during shipment to distant locations. Second, to achieve atherapeutic dose of a composition containing a radioactive metal havinga short half-life, large amounts of radioactive materials must be used.As a result, clinical personnel must handle large amounts of radioactivematerials, which pose safety issues for repeated exposure to thesepersonnel.

Osteoarthritis is the most common type of arthritis and is caused by thebreakdown of joint cartilage. The loss of cartilage and the subsequentbone rubbing on bone is quite painful. Osteoarthritis usually starts ina single joint. Treatment of osteoarthritis focusses on pain relief.Nonsteroidal, anti-inflammatory drugs (NSAIDs), cortisone and hyaluronicacid injections, massage, and other treatments are usually used in anattempt to control the pain. Inflammation in the synovium membrane canbe an important factor in individuals with osteoarthritis. DimitriosChatzopoulos, et al. [Nuclear Medicine Communications, 30(6), 472-479(2009)] report that the use of Y-90 synovectomy exerts a beneficialtherapeutic effect for a substantial number of patients withosteoarthritis knee pain and synovial inflammation and believe thatradiation synovectomy is an option for treating osteoarthritis.

As is evident from the discussion above, better technology to ablateundesirable cells in various diseases is needed. In the general field ofbrachytherapy and arthritis, more effective methods of deliveringradioisotopes to tumors and arthritic sites are needed that give aradiation dose specifically to the treatment area with little to no doseto non-target tissues. Clearly, such an improved technology is desirableto treat these various diseases in humans and animals.

SUMMARY OF THE INVENTION

This invention provides a Non-Sealed radioactivepharmaceutically-acceptable composition represented by Formula (I)below.Q_(q)—T_(t)—A_(a)—B_(b)—C_(c)—R_(r)   Formula (I)

wherein:

-   -   Q is a Substrate of a different material from A_(a)—B_(b)—C_(c)        entity, wherein such Substrate has the A_(a)—B_(b)—C_(c) entity        deposited or adhered thereto; and is an injectable or        implantable Substrate that is either pharmaceutically-acceptable        or can be Coated to be pharmaceutically-acceptable;    -   q is equal to 1 or 0, wherein 1 means the entity is present and        0 means the entity is not present;    -   T is a non-radioactive iron hydroxide, iron oxide, gadolinium        hydroxide or gadolinium oxide;    -   t is equal to 1 or 0, wherein 1 means the entity is present and        0 means the entity is not present;    -   A is J_(v)M*_(w)(OH)_(x)(CO₃)_(y)(AN)_(z)·nH₂O, wherein:        -   J is a lanthanide metal ion capable of forming hydroxy            carbonate compounds;        -   v is greater than or equal to 0;        -   M* is radioactive Sm-153, Ho-166, Y-90, or Lu-177 or            mixtures thereof, wherein their respective non-radioactive            Rare-earth Type Metal is usually present;        -   w, x and y are each independently greater than 0;        -   AN is a pharmaceutically-acceptable anionic moiety; and        -   z and n are each independently greater than or equal to 0;    -   a is equal to 1 or 0, wherein 1 means the entity is present and        0 means the entity is not present;    -   B is M*_(w)(OH)_(x)(CO₃)_(y)·nH₂O, wherein:        -   M* is radioactive Sm-153, Ho-166, Y-90, or Lu-177 or            mixtures thereof, wherein their respective non-radioactive            Rare-earth Type Metal is usually present;        -   w, x and y are each independently greater than 0; and        -   n is greater than or equal to 0;    -   b is equal to 1 or 0, wherein 1 means the entity is present and        0 means the entity is not present;    -   C is Sn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y)·nH₂O}_(p), wherein:        -   Sn is radioactive tin (IV)-117m but also contains            non-radioactive tin isotopes;        -   L is hydrous oxide, hydroxide, or oxyhydroxide such that            Sn(L)_(u) is hydrous stannic oxide, stannic hydroxide, or            stannic oxyhydroxide, or mixtures thereof;        -   u is greater than 0;        -   M is a Rare-earth Type Metal, or mixture thereof, wherein M            can further include a radioactive Rare-earth Type Metal            selected from the group consisting of Y-90, Sm-153, Ho-166,            or Lu-177, or mixtures thereof;        -   w, x and y are each independently greater than 0;        -   n is greater than or equal to 0; and        -   p is equal to 1 or 0, wherein 1 means the entity is present            and 0 means the entity is not present;    -   c is equal to 1 or 0, wherein 1 means the entity is present and        0 means the entity is not present;    -   R is a Coat comprising a substance of a different composition        than A_(a)—B_(b)—C_(c) entity, which covers A—B_(b)—C_(c), and        if q is 1, also Coats Substrate Q, and the resulting Coated        composition is pharmaceutically-acceptable for injection; and    -   r is equal to 1 or 0, wherein 1 means the entity is present and        0 means the entity is not present;    -   with the provisos that one and only one of a, b and c are equal        to 1, the others being equal to 0 (i.e. one and only one of A,        B, or C is present); if either q or t is equal to 1, then the        other is equal to 0 (i.e. only one of Q or T may optionally be        present); each of u, v, w, x, y and z are of a numeric value,        fractional values included, such that electrical neutrality is        attained; and n is greater than or equal to 0 to provide        optional water of hydration.

The formulated, pharmaceutically-acceptable compositions of Formula (I)can be colloids, suspensions or slurries, which are usually formulatedas pharmaceutically-acceptable liquids, such as in water or saline, forinjection into an animal or human in need of such treatment. Suchformulations may also have present one or morepharmaceutically-acceptable carriers, excipients, diluents, suspensionaids, preservatives, crystal growth modifiers or buffers. However, ifthe composition has Q present (e.g. a stent), it can be useful forimplantation.

This invention provides Non-Sealed radioactivepharmaceutically-acceptable compositions as defined by Formula (I), andits use in therapeutic methods for various diseases. The formulatedradioactive composition of Formula (I) can deliver relatively largeradiation doses from a Non-Sealed radioactive source to the site ofdiseased cells, such as an undesired tissue mass, including infectionsand cancerous tumors in both soft tissue and bone, and arthritis for thepurpose of ablating said undesirable tissue. Also this inventionminimizes the amount of radiation dose to non-target tissues in order tominimize side effects.

DETAILED DESCRIPTION OF THE INVENTION

It is understood that the terminology used herein is for the purpose ofdescribing particular embodiments only and is not intended to belimiting. As used in this specification, the singular forms “a”, “an”,and “the” include plural referents unless the content clearly indicatesotherwise. The following terms in the Glossary as used in thisapplication are to be defined as stated below and for these terms, thesingular includes the plural.

Various headings are present to aid the reader, but are not theexclusive location of all aspects of that referenced subject matter andare not to be construed as limiting the location of such discussion.

Also, certain US patents and PCT published applications have beenincorporated by reference. However, the text of such patents is onlyincorporated by reference to the extent that no conflict exists betweensuch text and other statements set forth herein. In the event of suchconflict, then any such conflicting text in such incorporated byreference US patent or PCT application is specifically not soincorporated in this patent.

Glossary

-   Coat means a layer of one substance covering another-   CT means computed tomography, usually X-ray computed tomography-   hr means hours-   Hydroxy Carbonate Entity means M_(w)(OH)_(x)(CO₃)_(y)·nH₂O as    defined in Formula (IV) and Formula (V)-   Intracavitary means inside a pre-existing body cavity such as sinus    or peritoneal-   mCi means milliCuries-   μCi means microCuries-   μL means microliters-   min means minutes-   MRI means magnetic resonance imaging-   MURR means University of Missouri Research Reactor-   Non-intracavitary means not in a pre-existing body cavity such as    sinus or peritoneal-   Non-Sealed means a source that is not encapsulated, for example, in    “seeds” or wires, or in a metal casing-   PET means positron emission tomography-   Rare-earth Type Metals means Sm, Ho, Lu, and Y-   Radioactive Hydroxy Carbonate means the    J_(v)M*_(w)(OH)_(x)(CO₃)_(y)(AN)_(z)·nH₂O entity as defined by A in    Formula (I) and in Formula (II)-   Radioactive Sn Entity means    Sn(L)_(u)-{M_(w)(OH)_(x)(CO₃)_(y).nH₂O}_(p) as defined by C in    Formula (I), Formula (IV), and Formula (V), and Sn means radioactive    tin(IV)-117m which also contains non-radioactive Sn isotopes-   sec means seconds-   Substrate means a surface upon which a different material is    deposited or adhered    Composition

This invention provides a Non-Sealed radioactivepharmaceutically-acceptable composition represented by Formula (I)below.Q_(q)—T_(t)—A_(a)—B_(b)—C_(c)—R_(r)   Formula (I)

wherein:

-   -   Q is a Substrate of a different material versus the        A_(a)—B_(b)—C_(c) entity, wherein such Substrate has the        A_(a)—B_(b)—C_(c) entity deposited or adhered thereto; and is an        injectable or implantable Substrate that is either        pharmaceutically-acceptable or can be Coated to be        pharmaceutically-acceptable, examples of Q include but are not        limited to alumina, silica, barium titanate, metal oxides and        hydroxides (such as iron oxide, iron hydroxide, titanium        dioxide, gadolinium hydroxide, and yttrium oxide), polystyrene        latex, hydroxyapatite [e.g. Ca₅(PO₄)₃OH], and magnetic particles        including magnetite (Fe₃O₄), maghemite (gamma Fe₂O₃), and        hematite (alpha Fe₂O₃), polystyrene-polymethacrylate copolymers,        poly(lactic acid) particles, DL-lactide/glycolide copolymers,        stents, shunts, and various derivatives of the particles        containing surface modifications such as —COOH, alkyl—OH,        acrylate, SiO₂, and polyethyleneglycol (PEG);    -   T is non-radioactive iron and/or gadolinium hydroxide and/or        oxide;    -   A is J_(v)M*_(w)(OH)_(x)(CO₃)_(y)(AN)_(z)·nH₂O    -   B is M*_(w)(OH)_(x)(CO₃)_(y)·nH₂O    -   C is Sn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y)·nH₂O}_(p)    -   R is a Coat comprising a substance of a different composition        than the A_(a)—B_(b)—C_(c) which covers A_(a)—B_(b)—C_(c), and        if q is 1, also Coats Substrate Q, and the resulting Coated        composition is pharmaceutically-acceptable for injection,        examples of such Coatings include but are not limited to        poly(lactic acid) and DL-lactide/glycolide copolymers,        polyethylene glycol (PEG), hydroxyapatite, and various organic        or inorganic polymers and derivatives;    -   J is a lanthanide metal ion capable of forming hydroxy carbonate        compounds, such as fluorescent gadolinium, europium, and erbium;    -   M* is radioactive Sm-153, Ho-166, Y-90, or Lu-177 or mixtures        thereof, wherein their respective non-radioactive Rare-earth        Type Metal is usually present;    -   M is a Rare-earth Type Metal, or mixture thereof, wherein M can        further include a radioactive Rare-earth Type Metal selected        from the group consisting of Y-90, Sm-153, Ho-166, or Lu-177, or        mixtures thereof;    -   AN is a pharmaceutically-acceptable anionic moiety, examples        include but are not limited to nitrate, chloride, hydrogen        phosphate, dihydrogen phosphate, fluoride, sulfate and oxalate;    -   Sn is radioactive tin (IV)-117m but also contains        non-radioactive Sn isotopes;    -   L is hydrous oxide, hydroxide, or oxyhydroxide such that        Sn(L)_(u) is hydrous stannic oxide, stannic hydroxide, or        stannic oxyhydroxide, or mixtures thereof;    -   q, t, a, b, c, r and p are equal to 1 or 0, wherein 1 means the        entity is present and 0 means the entity is not present;    -   w, x, y and u are greater than 0;    -   v, z and n are greater than or equal to 0;    -   with the proviso that one and only one of a, b and c are equal        to 1, the others being equal to 0 (i.e. one and only one of A,        B, or C must be present); if either q or t is equal to 1 then        the other is equal to 0 (i.e. only one of Q or T may optionally        be present); each of u, v, w, x, y and z are of a numeric value,        fractional values included, such that electrical neutrality is        attained; and n is greater than or equal to 0 to provide        optional water of hydration.

This invention provides Non-Sealed radioactivepharmaceutically-acceptable compositions as defined by Formula (I), andtherapeutic methods for various diseases that can deliver relativelylarge radiation doses from a Non-Sealed radioactive source to the siteof diseased cells, such as an undesired tissue mass, includinginfections and cancerous tumors in both soft tissue and bone, andarthritis for the purpose of killing said undesirable tissue. Also thisinvention minimizes the amount of radiation dose to non-target tissuesin order to minimize side effects. These properties provide advantagesover the discussed art.

One aspect of this invention provides a Non-Sealed radioactivepharmaceutically-acceptable composition, comprising a metal hydroxycarbonate composition wherein the radioactive metal in the hydroxycarbonate compound is yttrium-90, samarium-153, holmium-166, orlutetium-177, or mixtures thereof, wherein the respectivenon-radioactive metal hydroxy carbonate usually is present, andderivatives and/or modifications thereof as defined by Formula (II)below.

More specifically, this invention provides a pharmaceutically-acceptablecomposition of Formula (I) wherein a is equal to 1 and t, b and c areequal to 0 (i.e. Q_(q)—A—R_(r)) which is represented by Formula (II)below.Q_(q)—[J_(v)M*_(w)(OH)_(x)(CO₃)_(y)(AN)_(z) ·nH₂O]—R_(r)   Formula (II)

wherein:

-   -   Q, J, M*, AN, R, q, v, w, x, y, z and n are as defined in        Formula (I)

Another aspect of this invention provides Non-Sealed co-precipitatedradioactive pharmaceutically-acceptable aggregate compositions,comprising a radioactive metal hydroxy carbonate composition as definedby Formula (III) below.

More specifically, this invention provides a pharmaceutically-acceptablecomposition of Formula (I) wherein t and b are both equal to 1; and q,a, c and r are all equal to 0 (i.e. T—B) which is represented by Formula(III) below.T—[M*_(w)(OH)_(x)(CO₃)_(y) ·nH₂O]   Formula (III)wherein:

T, M*, w, x, y, and n are as defined in Formula (I).

Another aspect of this invention provides Non-Sealed, radioactive,pharmaceutically-acceptable compositions, comprising Sn(IV)-117m asdefined by Formula (IV) and Formula (V) below, and a therapeutic methodfor treating various diseases, where the present method can deliverrelatively large radiation doses from such compositions to arthriticsites for the purpose of treating said arthritic sites and/oralleviating pain. Also this invention minimizes the amount of radiationdose to non-target tissues in order to minimize side effects.

Another aspect of this invention provides a Non-Sealed radioactivepharmaceutically-acceptable composition, comprising a radioactiveSn(IV)-117m composition as defined by Formula (IV) below.

More specifically, this invention provides a pharmaceutically-acceptablecomposition of Formula (I) wherein c is equal to 1; and t, a and b areeach equal to 0 (i.e. Q_(q)—C—R_(r)) which is represented by Formula(IV) below.Q_(q)—[Sn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y) ·nH₂O}_(p)]—R_(r)   Formula(IV)wherein:

Q, Sn, L, M, R, q, u, w, x, y, n, p and r are as defined in Formula (I).

Another aspect of this invention provides Non-Sealed co-precipitatedradioactive pharmaceutically-acceptable aggregate compositions,comprising a radioactive Sn(IV)-117m composition as defined by Formula(V) below.

More specifically, this invention provides a pharmaceutically-acceptablecomposition of Formula (I) wherein t and c are both equal to 1; and q,a, b and r are all equal to 0 (i.e. T—C) which is represented by Formula(V) below.T—[Sn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y) ·nH₂O}_(p)]   Formula (V)wherein:

T, Sn, L, M, u, w, x, y, n and p are as defined in Formula (I).

The aqueous compositions of Formula (I), Formula (II), Formula (III),Formula (IV) and Formula (V) are colloids, suspensions or slurries,which are usually formulated as pharmaceutically-acceptable liquids,such as in water or saline, for injection that may also have present oneor more pharmaceutically-acceptable carriers, excipients, diluents,suspension aids, preservatives, crystal growth modifiers or buffers.However, if the composition has Q present (e.g. a stent), it can beuseful for implantation.

One aspect of this invention concerns a composition and a method for thetherapeutic treatment of a Non-intracavitary, undesirable tissue mass orarthritis in an animal or human in need of such treatment. Morespecifically, this invention provides compositions of Formula (II) andFormula (III) comprising yttrium-90 hydroxy carbonate and/orsamarium-153 hydroxy carbonate and/or holmium-166 hydroxy carbonateand/or lutetium-177 hydroxy carbonate particles, wherein the respectivenon-radioactive yttrium hydroxy carbonate and/or samarium hydroxycarbonate and/or holmium hydroxy carbonate and/or lutetium hydroxycarbonate is usually also present. Preferred combinations are:non-radioactive yttrium hydroxy carbonate present with radioactiveyttrium-90 hydroxy carbonate; non-radioactive samarium hydroxy carbonatepresent with radioactive samarium-153 hydroxy carbonate; non-radioactiveholmium hydroxy carbonate present with radioactive holmium-166 hydroxycarbonate; non-radioactive lutetium hydroxy carbonate present withradioactive lutetium-177 hydroxy carbonate; and certain modificationsand derivatives thereof, in a pharmaceutically-acceptable, aqueousmedium.

One method of this invention uses a therapeutically-effective quantityof the compositions of Formula (II) and Formula (III), administered inone or more locations into or near a Non-intracavitary, undesirabletissue mass (e.g. cancer) in an animal or human in need of suchtreatment. Another method of this invention uses atherapeutically-effective quantity of these hydroxy carbonates,administered in one or more locations into or near the synovial cavityto treat arthritis. In either method the treatment is such that a majorportion of the dose remains at the site of injection (defined as greaterthan about 90% of the dose remaining at the site after two half-lives ofthe radioisotopes; more preferably greater than about 95% of the doseremaining at the site after 2 half-lives of the radioactive isotopes;and most preferably greater than about 98% of the dose remaining at thesite after 2 half-lives of the radioisotopes) as determined bybiolocalization data obtained by dissection of an animal (e.g. BALB/cmice or Sprague Dawley rats); wherein the values are corrected forradioactive decay. It is also important to recognize that deposition ofradioactivity in non-target organs and tissues can impact the safety andefficacy of the treatment. Ideally, in mice, less than about 1%remaining in the carcass (including the contralateral femur) and lessthan about 0.2% in the liver plus the kidneys and, in rats, less thanabout 1% in the skeletal structure and less than about 0.2% in the liverplus the kidneys. In the case of mice (injection into the gastrocnemiusmuscle of the right hind leg is used as a model for Non-Intracavitarytumors), all tissues, including the whole carcass, and bedding werecollected such that 100% of the radioactivity was accounted for. In thecase of rats (injections were directly into the synovial cavity), thesize of the animal precluded counting the entire carcass. Thereforesamples of blood, muscle, and bone (contralateral femur) were collectedand the total masses of those tissues were calculated. The tissue masseswere calculated based on rat body weight using equations fitted to datain the literature [Henry H. Donaldson, The Rat: Reference Tables andData for the Albino Rat and the Norway Rat, (1915)].

Administration of a therapeutically-effective dose is accomplished bythe direct administration of a composition to the desired site. Theradioactivity delivered to the site remains at the site ofadministration for a sufficient time to give a therapeutic radiationdose to that area. Compared with systemic administration approaches, thetotal amount of radioactivity administered is very small and the amountof radioisotope that leaches out of the treatment area is minimal; thuslittle to no radiation dose to normal tissues is realized.

Administration of the radioisotope composition can be via a microsyringeor another device capable of delivering small volumes of fluid such as asmall pump. In one embodiment of the invention for treating bone tumors,a miniature drill is used to create one or more holes in a bone by whicha catheter can be inserted through the holes and a device capable ofdelivering small volumes of fluid is used to deliver the dose. In otherembodiments, a microsyringe can be used for the delivery of the dose.

Radioisotopes of this invention include particle-emitting isotopes thatcan deposit therapeutic amounts of ionizing radiation at the site of theundesired tissue mass.

Another aspect of this invention provides a Non-Sealed, radioactive,pharmaceutically-acceptable composition, comprising a Sn(IV)-117mcomposition as defined by Formula (IV) and Formula (V), and atherapeutic method for treating various diseases, where the presentmethod can deliver relatively large radiation doses from suchcompositions to arthritic sites for the purpose of treating saidarthritic sites and/or alleviating pain. Treatment of the mammal orhuman is accomplished using a therapeutically-effective quantity of thecompositions of Formula (IV) and Formula (V), wherein the compositionsare administered into or near the synovial cavity. Also this inventionminimizes the amount of radiation dose to non-target tissues in order tominimize side effects.

More specifically, this invention comprises pharmaceutically-acceptable,Non-Sealed, radioactive Sn(IV)-117m compositions of Formula (IV) and theaggregate compositions of Formula (V):

One method of this invention uses a therapeutically-effective quantityof these Sn(IV)-117m compositions of Formula (IV) and Formula (V),administered in one or more locations into or near the synovial cavityto treat arthritis and/or alleviate pain. The treatment is such that amajor portion of the dose remains at the site of injection (as definedearlier). Administration of a therapeutically-effective dose isaccomplished by the direct administration of compositions of Formula(IV) and Formula (V) to the arthritic site. The radioactivity deliveredremains at the site of administration for a sufficient time to give atherapeutic radiation dose to that area. Compared with systemicadministration approaches, the total amount of radioactivityadministered is very small and the amount of radioisotope that leachesout of the treatment area is minimal; thus little to no radiation doseto normal tissues is realized.

Method of Administration

Specifically, this invention involves the delivery of atherapeutically-effective amount of the pharmaceutically-acceptable,Non-Sealed formulated radioisotope compositions of Formula (II) andFormula (III) directly to the diseased cells, without systemicadministration, such as to the synovial cavity or to an undesired tissuemass, including infections (e.g., osteomyelitis) and cancerous tumors,especially inoperable cancerous tumors, in both soft tissue and bone;such as cancerous tumors in bone, prostate, liver, lung, brain, muscle,breast, cervix and skin. Compositions of Formula (IV) and Formula (V)are administered specifically to the synovial cavity due to the idealradiochemical properties of Sn-117m, including the ability to image invivo.

Cancerous tumors treated in this invention are considered as occurringin Non-intracavitary body areas as this direct administration to theundesired tissue mass is directly into or very near such tissue mass andis not into any cavity. In contrast, the treatment of the synovium is bydirect injection into the synovial cavity with compositions of Formula(II), Formula (III), Formula (IV) and Formula (V). The amount ofradioactivity administered to the animal, including humans, of thesecompositions is effectively directed to the desired site and theadministration is done where only the intended site is treated; not doneby means that involve other body areas, e.g., no systemic administration(such as I.V. administration). Non-target, normal tissue is sparedexposure because only a very small amount of radioisotope isadministered and the majority of the radioisotope mixture is immobilizedat the administration site. Thus the majority of the radioactive decayof the isotope occurs at the site of injection with only small amountsof radioactivity leaching out of the injection site before a significantamount of the radioisotope decays. This results in a high radiation doseto the target area and extremely small doses to non-target tissues. Thecomposition can be used to treat a variety of conditions of diseasedcells where ablation is desired, particularly arthritis, canceroustumors and other undesired tissue masses.

Radioisotopes used in Formula (II) and Formula (III) of this inventionare particle emitters, preferably beta (β) emitters. Preferredradioisotopes are ions of rare-earth metals and yttrium including Sm,Ho, Lu, and Y. Sm, Ho, Lu, and Y have been referred to in the literatureas “Rare-earth type metals” (e.g. U.S. Pat. No. 3,436,335). Preferredradioactive isotopes include: Sm-153, Ho-166, Y-90, and Lu-177 becausethey are isotopes with a relatively short half-life of less than about 7days that also emit energetic beta particles: such criteria include Y-90(half-life=64 hrs.), Ho-166 (half-life=26.8 hrs.), Sm-153(half-life=46.7 hrs.) and Lu-177 (half-life=6.7 days). It is understoodby those skilled in this area that often the radioisotopes contain theirnon-radioactive carrier isotopes as a mixture. The compositions Formula(IV) and Formula (V) containing Sn-117m (half-life=14 days) are limitedfor use in the treatment of arthritic sites.

Process and Derivatives

Hydroxy carbonates of non-radioactive metals such as the Rare-earth Type

Metals have been prepared by different techniques that have beenreported in the literature. For example, E. Zych, et al., J. Alloys andCompounds, 341, 385 (2002) prepared lutetium hydroxy carbonate bytreating lutetium nitrate with ammonium bicarbonate and ammoniasolution; whereas Tareen et al., J. Cryst. Growth, 50, 527 (1980) haveused oxalic acid as a CO₂ source in a procedure to produce hydroxycarbonates of La, Nd, Sm, Eu, and Gd. One particularly effective process(homogeneous precipitation using urea) disclosed by Egon Matijevic (U.S.Pat. No. 5,015,452); Daniel Sordelet and Mufit Akinic, J. of Colloid andInterface Sci., 122(1), 47-59, (1988); and Xianpeng Qin, MaterialsResearch Bulletin, 46, 170-174 (2011), all describe a procedure for thesynthesis of uniform hydroxy carbonate particles of Rare-earth TypeMetals. For example, Matijevic (U.S. Pat. No. 5,015,452) preparedhydroxy carbonate particles of gadolinium (Gd), terbium (Tb), europium(Eu), and samarium (Sm) and measured the fluorescence emission spectraof the compounds.

Iron oxide particles coated with a non-radioactive yttrium oxide shelldoped with a small amount of europium have been prepared by Zhi Ya Ma etal., J. Mater. Chem., 19, 4695-4700 (2009). Y.S. Ahn and M. H. Han,“Synthesis of Yttrium Iron Garnet Precursor Particles by HomogeneousPrecipitation,” J. of Materials Sci., 31 4233-4240 (1996), have reportedthe use of the homogeneous precipitation method wherein a solution ofiron nitrate, yttrium nitrate and urea with an initial pH of 2 washeated and reacted at 90° C. to produce a hydrated yttrium hydroxycarbonate·Fe₂O₃ product.

The homogeneous precipitation procedure uses rare-earth and yttriumsalts and urea as the reactants in solvents such as water oralcohol/water mixtures. Heating the aqueous mix by techniques generallyknown in the literature results in the decomposition of the urea toyield ammonia and carbon dioxide in situ. Alternatively, thedecomposition of the urea can be achieved enzymatically using urease atlow temperatures, such as room temperature, and is well documented inthe literature (Unuma et al., “Enzyme-mediated synthesis of ceramicmaterials,” Journal of the Ceramic Society of Japan, 119(8), 623-630,2011). The hydroxide and carbonate anions that are produced will formprecipitating nuclei with the metal cations when present above aninitial supersaturation point and the anions are consumed by the growthof the nuclei. This results in a separation of the nucleation and growthof the metal hydroxy carbonate species and leads to the formation ofuniform particles. The reaction conditions employed can beadvantageously chosen to alter the morphology and size of the particlesthat are formed [e.g. submicron (Matijevic—U.S. Pat. No. 5,015,452) tomicron (M. J. Haron et al., “Preparation of Basic Yttrium Carbonate forPhosphate Removal,” Water Environment Research, 69, 1047-51, July/August1997)]. Aiken et al. [J. Am. Ceram. Soc., 71 (10) 845-53 (1988)] haveused the homogeneous precipitation method using urea to preparemonodispersed particles of yttrium hydroxy carbonate as well as a mixedyttrium/cerium product. The procedures and the teachings in thereferences cited for preparing non-radioactive rare-earth and yttriumhydroxy carbonate compounds are hereby incorporated by reference intheir entirety.

In the majority of cases the hydroxy carbonates of the non-radioactivemetals that are formed are intermediates that are converted to the oxideby calcination at high temperatures. For example, heating yttriumhydroxy carbonate (basic yttrium carbonate) to a temperature greaterthan 600° C. results in the formation of Y₂O₃, which is useful in anumber of electronic and ceramic applications. Yttrium hydroxy carbonatehas also been prepared by the homogeneous precipitation method usingurea and has been used for phosphate removal in aqueous systems (M. J.Haron et al., “Preparation of Basic Yttrium Carbonate for PhosphateRemoval,” Water Environment Research, 69, 1047-51, July/August 1997) andfor arsenite and arsenate removal (Wasay, S. A. et al., “Removal ofArsenite and Arsenate Ions for Aqueous Solution by Basic YttriumCarbonate,” Water Res. (G.B.), 30(5), 1143-1148 (1996).

The compositions of Formula (II) and Formula (III) comprise radioactiveY-90, Sm-153, Lu-177, or Ho-166 as their hydroxy carbonate compounds, ormixtures thereof, wherein their respective non-radioactive yttrium,samarium, holmium, or lutetium hydroxy carbonate compound may also bepresent.

Radioactive particles may be prepared by the homogeneous precipitationprocedure using the appropriate metal salt(s) and urea, wherein themorphology, particle size, and size distribution are controlled by thereaction conditions employed in order to optimize in vivo performance.The use of the respective non-radioactive Y, Sm, Lu or Ho with theirrespective radioactive metal during the homogeneous precipitationprocedure is especially preferred.

Combinations of these preferred radioactive metals can be used toprepare compositions that are useful for delivering a radiation dose todiseased cells. For example, both Y-90 and Sm-153 can be used in thehomogeneous precipitation process. The particles are used to deliver theradiation dose to the synovial cavity or undesirable tissue mass (e.g.cancer).

An embodiment of the invention is to alter the Radioactive HydroxyCarbonate particles by applying a Coat of a substance of a differentcomposition. In this manner, the important properties of the radioactiveparticles are maintained while other properties such as decreasedsusceptibility to leaching, biocompatibility and physical and chemicalintegrity for in vivo applications can be optimized based on the natureof the surface Coat. A representation of a Coated Radioactive HydroxyCarbonate particle of the invention is provided by Formula (II) whereinR is present (r is 1); Q, J, AN are not present (q, v and z all equal 0)and R, M*, w, x, y and n are defined as for Formula (I).

Another embodiment of the invention is to deposit onto existingSubstrates that possess desirable properties [i.e. Q in Formula (I)] theRadioactive Hydroxy Carbonate compositions disclosed herein.

Non-radioactive hydroxy carbonates, such as yttrium hydroxy carbonate,have been deposited on a number of such substrates and have beenreported in the literature. For example, particulate substrates includealumina powder (Kazuhiro Wataya, U.S. Pat. No. 6,080,485); silicaparticles [Herbert Giesche and Egon Matijevic, “Preparation,Characterization and Sinterability of Well-defined Silica/Yttriapowders,” J. Mater. Res., 9(2), 436 (1994)]; barium titanate particles(Kazuhiro Wataya, U.S. Pat. No. 6,447,910); iron oxide particles [BarAiken and Egon Matijevic, “Preparation and Properties of Uniform CoatedInorganic Colloidal Particles IV. Yttrium Basic Carbonate and YttriumOxide on Hematite,” Journal of Colloid and Interface Science, 126(2),645-649 (1988)]; and polystyrene particles [Kawahashi, N., Matijevic,E., “Preparation and Properties of Uniform Colloid Particles V. YttriumBasic Carbonate on Polystyrene Latex,” J. Colloid Interface Sci.,138(2), 534-542 (1990)]. The procedures and the teachings in thesereferences for coating various surfaces with non-radioactive Rare-earthtype metal hydroxy carbonate compounds are hereby incorporated byreference in their entirety.

Another embodiment of the invention is the use of the homogeneousprecipitation process utilizing urea to deposit the Radioactive HydroxyCarbonate on a Substrate to produce compositions represented by Formula(II). Compositions comprising the radioactive species are valuable fordelivering the radiation dose to the synovial cavity or undesirabletissue mass. By choosing the initial Substrate, one can optimize theperformance by selecting particular parameters such as the morphology,biodegradability, particle size and size distribution of the finalcomposition. One such composition can be represented by Formula (II)wherein Q is present (i.e. q is 1); J, R and AN are not present (v, rand z are all 0) and Q, M*, w, x, y and n are defined as for Formula(I).

Suitable particles that can serve as Q are available from severalcommercial sources. Examples include polystyrene-polymethacrylatecopolymers, silica, and poly(lactic acid) particles from nanometer tomicron sizes which are available from micromod Partikeltechnologie GmbH,Friedrich-Barnewitz-St.4, 18119 Rostock-Warnemuende Germany(www.micromod.de). Also available from micromod are derivatives of theparticles containing surface modifications such as —COOH, alkyl—OH,acrylate, SiO₂, and polyethyleneglycol (PEG). For example, apolystyrene-polymethacrylate polymer of a specific particle size thathas been surface modified can be used as the Substrate Q.

Subsequently a Coat can be applied as represented by Formula (II)wherein Q and R are both present (i.e. q and r are both 1); and v and zboth equal 0; and Q, R, M*, w, x, y and n are defined as for Formula(I).

Another embodiment of this invention is represented by Formula (III)wherein the co-precipitated aggregate contains iron and/or gadoliniumoxides and/or hydroxides and wherein M*, w, x, y and n are as defined inFormula (I).

The preparation of non-radioactive hydrous stannic oxide, stannichydroxide, and stannic oxyhydroxide and mixtures thereof has beenreported in the literature. For example, Frank Austin Gooch and ClaudeFrederic Walker in their book Outlines of Inorganic Chemistry (which ishereby incorporated by reference for these teachings) have indicatedthat a-stannic hydroxides or a-stannic acids can be prepared by theaddition of certain reagents to stannic salts. Thus, when sodiumhydroxide is added in the proper quantity to a solution of stannicchloride, a white precipitate is formed which can contain the normala-stannic hydroxide, Sn(OH)₄, but which yields upon analysis α-stannicoxyhydroxide, SnO(OH)₂, which is also known as α-stannic acid (H₂SnO₃).The α-stannic acid can also be prepared as a precipitate by addingsodium carbonate in the proper amount to a solution of stannic chlorideand wherein carbon dioxide is evolved. Also, calcium carbonate, bariumcarbonate, and sodium sulfate can be added to stannic chloride to give aprecipitate which when dried in air has the composition of α-stannicoxyhydroxide. Gooch and Walker also indicate that α-stannic acid canconvert to β-stannic acid.

The homogeneous precipitation method using urea and a stannic salt canbe advantageously used to produce the hydrous stannic oxide, stannichydroxide, and stannic oxyhydroxide compounds discussed above. Forexample, Ki Chang Song and Yong Kang, Materials Letters 42, 283-289(2000) prepared uniform non-radioactive particles in a narrow particlesize range by heating urea and SnCl₄ in an aqueous solution at 90° C.for 4 hours. As the solution is heated, the urea is hydrolyzed andproduces ammonia and carbon dioxide. The gradual and uniform rise in thepH of the solution results in the nucleation and growth of the uniformparticles. By contrast, preparation of the Sn(IV) products by theaddition of aqueous ammonia to a solution of the SnCl₄ resulted in aprocess that gave very little control of the particle size and shape.

Non-radioactive hydrous stannic oxide has been coated on TiO₂ byutilizing a homogeneous precipitation process using urea [Byung-Kwan Kimand Itaru Yasui, Journal of Materials Science 23, 637-642 (1988)].

The procedures and the teachings in the references cited above forpreparing non-radioactive hydrous stannic oxide, stannic hydroxide, andstannic oxyhydroxide and for coating a particle with non-radioactivehydrous stannic oxide are hereby incorporated by reference in theirentirety and are useful for the preparation of the compositions ofFormula (IV) and Formula (V).

The compositions of Formula (IV) and Formula (V) comprising Sn(IV)-117mradioactive particles may be prepared by the above homogeneousprecipitation procedure. The appropriate metal salt(s) and urea, insolvents such as water or alcohol/water mixtures, are heated bytechniques generally known in the literature (including microwaveheating). The morphology, particle size, and size distribution arecontrolled by the reaction conditions employed, including initial pH ofthe reactants, in order to optimize the product yield and in vivoperformance. The particles are used to deliver the radiation dose toarthritic sites.

The compositions of Formula (III) and Formula (V) may be prepared by thehomogeneous precipitation process wherein the appropriate metal salt(s)and urea in a solvent such as water are heated by techniques generallyknown in the literature. The compositions produced are effective indelivering a therapeutic radiation dose to the diseased cells such asthe synovium or an undesirable tissue mass. In addition the paramagneticproperties of these compositions containing iron or gadolinium areuseful for diagnostic purposes.

Another embodiment of this invention is to alter the Radioactive SnEntity particles by applying a Coat of a substance of a differentcomposition. In this manner, the important properties of the radioactiveparticles are maintained while other properties such as decreasedsusceptibility to leaching, biocompatibility and physical and chemicalintegrity for in vivo applications can be optimized based on the natureof the surface Coat. A representation of a Coated particle of theinvention is provided by Formula (IV) wherein R is present (r is equalto 1); Q is not present (q is equal to 0). In general these compositionsof Formula (IV) are those wherein r is equal to 1; q is equal to 0; andR, L, M, u, w, x, y, p and n are defined as for Formula (IV). Thus theRadioactive Sn Entity is present, a Coat is present, and the HydroxyCarbonate Entity is optionally present (p is equal to 1 or 0).

Another embodiment of the invention is to deposit onto existingSubstrates that possess desirable properties [i.e. Q in Formula (IV)]the Radioactive Sn Entity disclosed herein (q is equal to 1, p is equalto 1 or 0, r is equal to 0).

Another embodiment of the invention is the use of the homogeneousprecipitation process utilizing urea to deposit the Radioactive SnEntity on a Substrate to produce compositions represented by Formula(IV). Formulations comprising the radioactive species are valuable fordelivering the radiation dose to arthritic sites. By choosing theinitial Substrate, one can optimize the performance by selectingparticular parameters such as the biodegradability, morphology, particlesize and size distribution of the final composition. The compositionscan be represented by Formula (IV) wherein Q is present (q is equal to1); R is not present (r is equal to 0) and p is equal to 1 or 0, and Q,L, M, u, w, x, y and n are defined as in Formula (I).

Another embodiment of this invention is represented by Formula (IV)wherein Q is not present (q is equal to 0); R is not present (r is equalto 0); and p is equal to 1 or 0; and Sn, L and u are as defined inFormula (I). Formulations comprising this Radioactive Sn Entity areuseful for delivering radiation doses to arthritic sites.

An additional aspect of the invention provides co-precipitated aggregatecompositions as represented in Formula (V). One representation iswherein T is iron and/or gadolinium oxide and/or hydroxide; p is equalto 1 or 0; and Sn, L, M, u, w, w, y and n are as defined in Formula (I).Formulations comprising this Radioactive Sn Entity are useful fordelivering radiation doses to arthritic sites.

Formulations

Certain compositions comprising the radioactive species of Formula (II)or Formula (IV) where Q is present are valuable for delivering theradiation dose to the synovial cavity [Formula (II) or Formula (IV)] orundesirable tissue mass [Formula (II)] because when certain propertiesare required (e.g. biodegradability, magnetic, or of a particular size),it is advantageous to have a selected Substrate that possesses thedesirable properties.

An additional embodiment of the invention includes the use of iron oxideparticles that are magnetic as the Substrate (Q). Preferred magneticiron oxide particles include magnetite (Fe₃O₄), or its oxidized formmaghemite (gamma Fe₂O₃), and hematite (alpha Fe₂O₃) with maghemite andmagnetite often times being the most preferred. When iron oxideparticles are used for in vivo applications it is important to add aprotective layer or Coat to provide a low toxicity profile. Depositingthe Radioactive Hydroxy Carbonate onto the iron oxide particles not onlyprovides an effective treatment for arthritis or the undesirable tissue(e.g. cancer) but also acts as a protective barrier from the toxicnature of the naked magnetic iron oxide particles. Deposition of theRadioactive Hydroxy Carbonate can be achieved using the homogeneousprecipitation process. One such composition can be represented byFormula (II) wherein Q is a magnetic iron oxide particle and q is equalto 1; J, R and AN are not present (v, r and z are all equal to 0).Another such composition can be represented by Formula (IV) wherein Q isa magnetic iron oxide particle and q is equal to 1; p is equal to 1 or0; R is not present (r is 0).

The magnetic properties of the radioactive particles may be used toimprove the localization of the composition by immobilizing theparticles at the site of the synovium or targeted undesirable tissuemass, such as cancer, by controlling an applied external magnetic field.The particle size and a high degree of magnetization are optimized forpeak performance. An additional benefit to the use of the magnetic ironoxide particles is that the active magnetic particles can be easilyseparated and purified from the reaction mixtures that were used for theinitial preparations. If desirable, an additional component, such assilica, can be incorporated in the magnetic particle and can berepresented by Formula (II) as Q, and the Radioactive Hydroxycarbonateis deposited thereon where J, AN and R are not present (v, z and r areall 0) or by Formula (IV) as Q, and the Radioactive Sn Entity isdeposited thereon where p is 1 or 0 and R is not present (r is 0).

Compositions comprising the magnetic iron oxide derived radioactivespecies are valuable for delivering the radiation dose to the synoviumor undesirable tissue mass.

Magnetic iron oxide particles useful for modification with radioactivemetal hydroxy carbonates can be prepared by methods described in theliterature. Non-limiting examples include:

-   (1) R. C. Plaza et al., J. of Colloid and Interface Sci., 194,    398-407 (1977);-   (2) Bar Aiken and Egon Matijevic; Journal of Colloid and Interface    Science, 126(2) (1988);-   (3) Zhi Ya Ma et al., J. Mat. Chem., 19, 4695-4700 (2009);-   (4) Pedro Tartaj, J. Phys. D: Applied Phys., 36, R182-R197 (2003)

In addition, many commercial sources of suitable magnetic iron oxideparticles are available and can be used as the Substrate (Q) in thepresent invention. Non-limiting examples include:

(1) Magnetic particles available from micromod Partikeltechnologie GmbH,Friedrich-Barnewitz-St.4, 18119 Rostock-Warnemuende Germany(www.micromod.de). Iron oxide particles without a surface modificationare available as well as iron oxide particles that have been modifiedwith additional surface chemistries. Examples include magnetic silicaparticles that are prepared by the hydrolysis of orthosilicates in thepresence of magnetite that possess terminal Si—OH—bonds; “cluster-typed”magnetic silica particles; magnetic fluorescent silica particles; andsilica-fortified magnetic dextran particles.

(2) Magnetic particles available from chemicell GmbH; Eresburgstrasse22-23; 12103 Berlin; Germany (www.chemicell.com). Examples include SiMAGparticles that are magnetic silica beads that have either a highlyporous or a non-porous silica surface; fluidMAG-UC/C and fluidMAG-UC/Awhich are magnetic nanoparticles with a cationic and anionic charge,respectively. Also available are hydroxyapatite coated magneticparticles with a diameter of approximately 2 microns.

(3) Nanosized magnetite particles coated with silica useful forhyperthermia applications available from Nanogap Subnmparticles; P.O.Box 591028; San Francisco, Calif.; 94159-0128 (http://nanogap.es/usa).

(4) Magnetic iron oxide (Fe₃O₄) nanocrystals and the nanocrystals coatedwith functional chemistries including silica, polyethyleneimine,polyethyleneglycol, polydiallyldimethylammonium chloride, oleic acid,dextran, carboxylic acid, and carboxylic acid plus polyethyleneglycolare available from M K Impex Corp.; Division: MKnano; 6382 Lisgar Drive;Missisauga, ON L5N 6X1; Canada.

An embodiment of the invention is the incorporation of an additionallanthanide metal ion into the Radioactive Hydroxy Carbonate entity. Onesuch composition can be represented by Formula (II) wherein J is anadditional lanthanide metal ion (i.e. v is greater than 0); Q, R and ANare not present (i.e. q, r and z are all equal to 0) and J, M*, w, x, yand n are defined as for Formula (I).

Lanthanide based particles represent a class of compounds that possessfluorescence properties with high emission properties and as such havebeen used as luminescent markers in biological systems. A fluorescentlanthanide metal can be incorporated in the Radioactive HydroxyCarbonate particles utilizing the homogeneous precipitation processemploying urea and the radioactive metal salt plus the lanthanide metalsalt. Certain compounds can be represented by Formula (II), wherein J isa fluorescent lanthanide such as gadolinium, europium or erbium. Thecompounds can also have an additional Coating, R, if desired (i.e. r isequal to 1); and Q and AN are not present (i.e. q and z are equal to 0).

The Radioactive Hydroxy Carbonate entity containing the additionallanthanide metal ion, J (i.e. v is greater than 0), wherein for exampleJ represents a fluorescent lanthanide can be deposited onto Substrate Q(e.g. magnetic particles). The compounds can be represented by Formula(II) where q is equal to 1 and Q is a magnetic iron oxide particle; andR and AN are not present (i.e. r and z are both equal to 0).

If desired, an additional Coat R (i.e. r is equal to 1) can beincorporated and the magnetic iron particles can have a surfacemodification. The compositions can act as biological luminescent markersthat can be advantageously controlled by a magnetic field to deliver atherapeutic radiation dose to the synovium or an undesirable tissuemass.

An embodiment of the invention is the incorporation of an additionalpharmaceutically-acceptable anionic moiety AN into the RadioactiveHydroxy

Carbonate entity without Substrate Q and Coat R present. Thesecompositions are represented by Formula (II) wherein z is greater than0; and q and r are both equal to 0 and AN, M*, w, x, y and n are definedas for Formula (I).

AN is a pharmaceutically-acceptable anionic moiety, examples include butare not limited to nitrate, chloride, hydrogen phosphate, dihydrogenphosphate, fluoride, sulfate and oxalate. If desired, the compounds canhave a Coat R and/or Substrate Q present as described earlier.

Another embodiment of the invention is to modify the surface of theRadioactive Hydroxy Carbonate entity of Formula (II) where r is equal to0 or the Radioactive Sn Entity of Formula (IV) where r is equal to 0with functional groups known in the literature [e.g. NH₂ groupsgenerated by functionalization using (3-aminopropyl)trimethoxysilane]that can then be used for attachment to tumor-targeting species such asmonoclonal antibodies, proteins, or small molecules. The compounds areuseful for delivering therapeutically effective doses of radiation tocancerous sites.

Further embodiments of the invention are compositions that are usefulfor the treatment of the synovium or undesirable tissue massescomprising as a first component compositions of Formula (II), Formula(III), Formula (IV) and Formula (V) and certain derivatives andmodifications thereof, as described herein, as a therapeuticallyeffective component of a treatment modality comprising as a secondcomponent nano-sized iron oxide particles, preferably magnetic magnetiteand maghemite [about 10 to about 50 nanometers (nm)], which have beenCoated with a protective Coating. These compositions are injecteddirectly into or near to the site of diseased cells (e.g. a diseasedsynovium) or the undesirable tissue mass (e.g. tumor), eithersimultaneously with, or shortly before, or shortly after theadministration of the first component radioactive particles (whereshortly means from about 1 sec. to about 30 min.). The magneticproperties of the iron oxide particles are utilized to generate atemperature (approximately from 42-46° C.) that weakens and/or kills thetumor when the particles are exposed to an external stimulus such as analternating current (AC) magnetic field (hyperthermic conditions), whilethe radioactive metal that is present delivers a therapeutic dose to thetumor. Both components can be comprised of magnetic iron oxideparticles. In some cases, nano-size iron oxide particles of about 10 nmto about 50 nm can be Q in Formula (II) or Formula (IV), if desired, anoptional Coating R may be used, to achieve both goals (hyperthermiatreatment and delivering a therapeutic radiation dose).

Formulations and Method of Use

Once formed, the radioactive particles of Formula (I) and certainderivatives and modifications thereof can be administered in atherapeutically-acceptable dose and in a pharmaceutically-acceptableliquid such as water or saline. The various compositions of Formula (II)and Formula (III) are useful for treating an animal or human havingdiseased cells that need ablation (e.g. an undesirable tissue mass orthe synovium) by administering a therapeutically effective dose of asuitable pharmaceutically-acceptable composition by injection into ornear such diseased cells. Such diseased cells may be caused by a varietyof diseases (e.g. cancers), arthritis or infections (e.g.osteomyelitis). The various compositions of Formula (IV) and Formula (V)are useful for treating an animal or human having arthritic sites byadministering a therapeutically effective dose of a suitablepharmaceutically-acceptable composition by injection into or near thesynovial cavity.

The formulated compositions may be, but are not limited to, suspensions,slurries, or colloids. Optionally, other known, usualpharmaceutically-acceptable ingredients can be present in thecomposition such as excipients, suspension aids, preservatives, buffersfor pH adjustment, crystal growth modifiers, and others, which are wellknown to one skilled in this art.

In another aspect of this invention, compositions containing insolubleparticles are separated from the initial reaction mixture (e.g. byfiltering, centrifuging, or decanting) and a therapeutically-effectivedose of the insoluble particles is administered in apharmaceutically-acceptable liquid into or near the diseased cells.

Delivery of the formulated composition can be done using a microsyringeor a pump capable of accurately delivering microliter volumes (e.g.Valco Instrument Company, Inc. model CP-DSM) to provide flow to theproximal end of a catheter which may be placed within or next to theundesirable tissue mass to be treated. The flow may be either continuousor may be pulsed to enhance complete penetration of the undesirabletissue mass by the radioisotope.

Therapeutically-effective doses of radioisotopes will require differentamounts of activity for different isotopes and for different indicationsbut can be described by the radiation dose delivered to the tissue.

In one embodiment of the invention, the compositions of Formula (II) orFormula (III) may be delivered to a bone tumor using a miniature pump orsyringe. Access to the tumor may be effected by the use of a bone biopsytool or a miniature drill capable of making a curved or angled holethrough bone and either upstream of the tumor (so to guide the cathetertowards it) or directly into the bone or tumor in the bone. Any devicethat can provide a suitable hole in the bone, such as a syringe needleor biopsy tool will suffice. The insertion of the catheter using imagingtechniques, as is known in the art, may help to position the distal endof the catheter in close proximity to the tumor. Some known imagingtechniques for this use are PET, CT, Ultrasound, MRI, and fluoroscopy;particularly useful are PET or CT.

The compositions disclosed herein may be used in conjunction withtechniques known in the art for the therapeutic treatment of diseasedcells such as arthritis or undesirable tissue masses (e.g. cancer orinfections). The present compositions of Formula (I) may also be part ofa combination therapy with other known therapeutic drugs or treatments.

This invention will be further clarified by a consideration of thefollowing examples, which are intended to be purely exemplary of thepresent invention. The numbered examples are illustrative of thisinvention; the lettered examples are comparative examples.

EXAMPLES Example 1: Preparation of Composition (Y-90, 2.4 M Urea, 0.1 MYCl₃ Heated 45 min)

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05M HCl. Activity was measured to be 440 mCi using aCapintec CRC-55 dose calibrator. The activity concentration was adjustedto 20 μCi/μL by the addition of 19 μL of 0.05 M HCl.

95 μL of 5 M urea was mixed with 95 μL of 0.2 M YCl₃ and 10 μL of Y-90(prepared above) in a small screw cap conical micro-centrifuge tube. Thesolution and mixed for 5 sec using a VWR mini vortexer. The vial wasthen clamped onto a ring stand and lowered into a 100 mL beaker ofboiling water for 45 min.

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Y-90; and Formula (II) wherein q, v and r are all equal to 0, and M*is Y-90.

Example 2: Composition of Example 1 Administered to Mouse Muscle and RatKnee

Six male BALB/c mice, under Isoflurane anesthesia, were each injectedwith 20 μL of the Composition prepared according to the procedure ofExample 1 into the gastrocnemius muscle of the right hind leg using a ⅓cc insulin syringe. The mice were individually housed in cages withabsorbent paper under a wire mesh bottom.

Mice were sacrificed at 6 days (about 2 half-lives), 8 days (about 3half-lives) and 11 days (about 4 half-lives) in groups of two. Organsand tissues collected were: right leg (including injection site), blood,heart, lung, left femur, left thigh, liver, spleen, kidneys, smallintestine, large intestine, stomach, remainder of carcass, and bladderalong with all collected absorbent paper containing accumulated fecesand urine. The carcass consists of the remaining musculoskeletalstructure, reproductive organs, the skin, head, limbs and tail. Theright leg that was collected was removed just below the hip joint andconsists of the entire limb, including the injection site.

Samples were counted for radioactivity on a PerkinElmer Wizard automatedNaI well detector. The data, shown below in Table 1, indicate theaverage percent injected dose (% ID) in each tissue/sample.

Six male Sprague Dawley rats, under Isoflurane anesthesia, were eachinjected with 20 μL of the Composition prepared according to theprocedure of Example 1 into the synovial cavity of the right hind kneeusing a ⅓ cc insulin syringe. The dose was deposited into the cavity vianeedle insertion through the skin. The rats were individually housed incages with absorbent paper under a wire mesh bottom.

Rats were sacrificed at 6 days (about 2 half-lives), 8 days (about 3half-lives) and 11 days (about 4 half-lives) in groups of two. Organsand tissues collected were: right leg (including injection site), blood,heart, lung, left femur, left thigh, liver, spleen, kidneys, smallintestine, large intestine, stomach, and bladder along with allcollected absorbent paper containing accumulated feces and urine. Theright leg that was collected was removed just below the hip joint andconsists of the entire limb, including the injection site.

Due to the size of the animals, the carcass was not collected andmeasured as was done for the mice. The % ID in the skeletal structure,muscular structure and blood in the body were calculated from theactivity in samples of those tissues (left femur, left thigh, blood) andrat body weight using equations fitted to data in the literature as wasdescribed earlier.

Samples were counted for radioactivity on a PerkinElmer Wizard automatedNaI well detector. The data, shown below in Table 1, indicate theaverage percent injected dose in each tissue/sample.

TABLE 1 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.0 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.0 0.00.0 Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 SkeletonLeft Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver0.0 0.0 0.0 0.1 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0 Kidney 0.0 0.00.0 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg. Intestine 0.00.0 0.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0 Carcass 0.3 0.1 0.1— — — Leg (including 99.4  99.8  99.7  99.3  99.7  100.0  injectionsite) Urine/Feces 0.2 0.1 0.2 0.6 0.3 0.0

Example 3: Preparation of Composition (Y-90, 2.4 M Urea, 0.02 M YCl₃Heated 45 min)

95 μL of 5 M urea was mixed with 95 μL of 0.04 M YCl₃ and 10 μL of Y-90(prepared according to the procedure of Example 1) in a small screw capconical micro-centrifuge tube. The solution was mixed for 5 sec with aVWR mini vortexer. The vial was then clamped onto a ring stand andlowered into a 100 mL beaker of boiling water for 45 min.

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Y-90; and Formula (II) wherein q, v and r are all equal to 0, and M*is Y-90.

Example 4: Composition of Example 3 Administered to Mouse Muscle and RatKnee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample 3. The data, shown below in Table 2, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 2 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.0 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.0 0.00.0 Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 SkeletonLeft Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver0.0 0.0 0.0 0.0 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0 Kidney 0.0 0.00.0 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg. Intestine 0.00.0 0.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0 Carcass 0.1 0.1 0.2— — — Leg (including 99.9  99.9  99.8  99.6  99.8  99.8  injection site)Urine/Feces 0.1 0.0 0.1 0.3 0.2 0.1

Example 5: Preparation of Composition (Y-90, 0.24 M Urea, 0.01 M YCl₃Heated 2 hr)

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05 M HCl. Activity was measured to be about 10 mCi using aCapintec CRC-55 dose calibrator. The activity concentration was adjustedto about 40 μCi/μL by the addition of 0.05 M HCl.

95 μL of 0.5 M urea was mixed with 95 μL of 0.02 M YCl₃ and 10 μL of theY-90 (prepared above) in a small screw-cap conical micro-centrifugetube. The solution was mixed for 5 sec using a VWR Mini Vortexer. Thevial was then clamped onto a ring stand and lowered into a 100 mL beakerof boiling water for 2 hr.

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Y-90; and Formula (II) wherein q, v and r are all equal to 0, and M*is Y-90.

Example 6: Composition of Example 5 Administered to Mouse Muscle

Six male BALB/c mice were each injected, housed, sacrificed and assayedin the manner of Example 2 using 20 μL of the Composition preparedaccording to the procedure of Example 5. The data, shown below in Table3, indicate the average percent injected dose (% ID) in eachtissue/sample.

TABLE 3 Average % Dose Injection (% ID) of Y-90 6 days 8 days 11 daysBlood 0.0 0.0 0.0 Heart 0.0 0.0 0.0 Lung 0.0 0.0 0.0 Left Femur 0.0 0.00.0 Left Thigh 0.0 0.0 0.0 Liver 0.0 0.0 0.0 Spleen 0.0 0.0 0.0 Kidney0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 Lg. Intestine 0.0 0.0 0.0 Stomach0.0 0.0 0.0 Carcass 0.6 0.6 0.4 Leg (including injection site) 97.5 98.699.2 Urine/Feces 1.9 0.8 0.4

Example 7: Preparation of Composition (Y-90, 0.04 M FeCl₃, 0.01 M YCl₃2.4 M Urea Heated 4 hr)

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05M HCl. Activity was measured to be 13 mCi using a CapintecCRC-55 dose calibrator. The activity concentration was adjusted to 30.5μCi/μL by adding 24.5 μL of 0.05 M HCl to 0.5 μL of Y-90.

125 μL of 0.16 M FeCl₃ was mixed with 125 μL of 0.04 M YCl₃ and 250 μLof 5 M urea in a small screw cap conical micro-centrifuge tube. 25 μL ofY-90 (prepared above) was added to the solution and mixed for 5 sec witha VWR mini vortexer. The vial was then clamped onto a ring stand andlowered into a 100 mL beaker of water at approximately 90° C. for 4 hr.

The composition of this example is representative of both Formula (I)wherein q, b, c, r and v are all equal to 0, t and a are both equal to1, and M* is Y-90; and Formula (III) wherein M* is Y-90.

Example 8: Composition of Example 7 Administered to Mouse Muscle and RatKnee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample 7. The data, shown below in Table 4, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 4 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.0 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.0 0.00.0 Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.6 0.5 0.0 SkeletonLeft Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver0.0 0.0 0.0 0.1 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0 Kidney 0.0 0.00.0 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg. Intestine 0.00.0 0.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0 Carcass 0.2 0.4 0.3— — — Leg (including 99.7  99.5  99.7  98.9  98.9  99.6  injection site)Urine/Feces 0.1 0.1 0.0 0.5 0.6 0.3

Example 9: Preparation of Composition (Y-90, 2.2 M Urea, 0.1 MYCl₃—Urease Initiated)

Y-90 was received from Perkin Elmer in a minimal volume of 0.05M HCl.Activity was measured to be about 1.18 mCi using a Capintec CRC-55 dosecalibrator. The activity was adjusted to about 40 μCi/μL by the additionof 44 μL of 0.05 M HCl.

152 μL 5 M urea was mixed with 152 μL of 0.2 M YCl₃ and 16 μL of theY-90 solution (prepared above) in a screw cap micro-centrifuge tube. Thesolution was mixed for 5 sec using a VWR mini vortexer. The pH wasdetermined to be around 5 using pH strips. With a micropipette, 20 μL ofan acetate-buffered, 20 mg/mL urease solution was added to the vial andplaced on a nutator and gently agitated for 1 hr at room temperature.300 μL of the supernatant was carefully removed with a micropipette. Theactivity of the removed supernatant was 3.2 μCi. To the original vial,300 μL of saline solution was added and the vial was mixed with a minivortexer for about 1 min

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Y-90; and Formula (II) wherein q, v and r are all equal to 0, and M*is Y-90.

Example 10: Composition of Example 9 Administered to Mouse Muscle andRat Knee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample 9. The data, shown below in Table 5, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 5 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.0 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.0 0.00.0 Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 SkeletonLeft Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver0.0 0.0 0.0 0.0 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0 Kidney 0.0 0.00.0 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg. Intestine 0.00.0 0.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0 Carcass 0.0 0.0 0.0— — — Leg (including 100.0  100.0  100.0  100.0  100.0  100.0  injectionsite) Urine/Feces 0.0 0.0 0.0 0.0 0.0 0.0

Example 11: Preparation of Composition (Sm-153, 2.3 M Urea, 0.1 M YCl₃Heated 45 min)

Sm-153 was received from MURR as samarium chloride in 0.05M HCl.Activity was measured to be 2.2 mCi using a Capintec CRC-55 dosecalibrator. To increase the dose concentration, the solution was placedin a heating block at about 90° C. to evaporate the excess. After 40min, the solution was removed from heat and 70 μL was transferred to asmall screw cap conical micro-centrifuge tube. The activity of themeasured aliquot was 350 μCi. The final activity concentration was 5 μCiper μL.

152 μL of 5 M urea was mixed with 152 μL of 0.2 M YCl₃ and 32 μL of theSm-153 (prepared above) in a small screw cap conical micro-centrifugetube. The activity of the solution was 166.8 μCi. The entire solutionwas mixed for 5 sec using a VWR mini vortexer. The vial was then clampedonto a ring stand and lowered into a 100 mL beaker of boiling water for45 min

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Sm-153, also containing non-radioactive Y; and Formula (II) whereinq, v and r are all equal to 0, and M* is Sm-153, also containingnon-radioactive Y.

Example 12: Composition of Example 11 Administered to Mouse Muscle andRat Knee

Six male BALB/c mice and six male Sprague Dawley rats were each injectedand housed in the manner of Example 2 using 20 μL of the Compositionprepared according to the procedure of Example 11. The animals weresacrificed at 4 days (about 2.1 half-lives), 7 days (about 3.6half-lives) and 8 days (about 4.1 half-lives) in groups of two andassayed in the manner of Example 2. The data, shown below in Table 6,indicate the average percent injected dose (% ID) in each tissue/sample.

TABLE 6 Average % Injected Dose (% ID) of Sm-153 Mice Rats 4 7 8 4 7 8days days days days days days Blood 0.0 0.0 0.0 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.0 0.00.0 Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 SkeletonLeft Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver0.0 0.0 0.0 0.0 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0 Kidney 0.0 0.00.0 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg. Intestine 0.00.0 0.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0 Carcass 0.1 0.0 0.0— — — Leg (including 99.9  99.8  100.0  99.9  100.0  99.9  injectionsite) Urine/Feces 0.0 0.2 0.0 0.1 0.0 0.1

Example 13: Preparation of Composition (Ho-166, 2.4 M Urea, 0.08 M HoCl₃Heated 45 min)

Ho-166 was received from MURR as holmium chloride in 850 μL of 0.05MHCl. The activity was measured to be 1 mCi using a Capintec CRC-55 dosecalibrator. To increase the dose concentration, the solution was placedin a heating block at about 90° C. to evaporate the excess liquid. After40 min, the solution was removed from heat and 50 μL was taken andplaced in a small screw cap conical micro-centrifuge tube. The activityof the measured aliquot was 800 μCi. The final activity concentrationwas 16 μCi per μL.

114 μL of 5 M urea was mixed with 114 μL of 0.17 M HoCl₃ and 12 μL ofHo-166 (prepared above) in a small screw cap conical micro-centrifugetube. The solution was mixed for 5 sec using a VWR mini vortexer. Thevial was then clamped onto a ring stand and lowered into a 100 mL beakerof boiling water for 45 min.

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Ho-166; and Formula (II) wherein q, v and r are all equal to 0, andM* is Ho-166.

Example 14: Composition of Example 13 Administered to Mouse Muscle

Six male BALB/c mice were each injected and housed in the manner ofExample 2 using 20 μL of the Composition prepared according to theprocedure of Example 13. The animals were sacrificed at 2 days (about 2half-lives), 3 days (about 3 half-lives) and 4 days (about 4 half-lives)in groups of two and assayed in the manner of Example 2. The data, shownbelow in Table 7, indicate the average percent injected dose (% ID) ineach tissue/sample.

TABLE 7 Average % Injected Dose (% ID) of Ho-166 2 days 3 days 4 daysBlood 0.0 0.0 0.0 Heart 0.0 0.0 0.0 Lung 0.0 0.0 0.0 Left Femur 0.0 0.00.0 Left Thigh 0.0 0.0 0.0 Liver 0.0 0.0 0.0 Spleen 0.0 0.0 0.0 Kidney0.0 0.0 0.0 Small Intestine 0.0 0.0 0.0 Large Intestine 0.0 0.0 0.0Stomach 0.0 0.0 0.0 Carcass 0.0 0.0 0.0 Leg (including injection site)99.9 99.9 99.9 Urine/Feces 0.1 0.1 0.1

Example 15: Preparation of Composition (Ho-166, 2.4 M Urea, 0.02 M HoCl₃Heated 45 min)

114 μL of 5 M Urea was mixed with 114 μL of 0.04 M HoCl₃ and 12 μL ofHo-166 (prepared according to the procedure of Example 13) in a smallscrew cap conical micro-centrifuge tube. The solution was mixed for 5sec using a VWR mini vortexer. The vial was then clamped onto a ringstand and lowered into a 100 mL beaker of boiling water for 45 min.

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Ho-166; and Formula (II) wherein q, v and r are all equal to 0, andM* is Ho-166.

Example 16: Composition of Example 15 Administered to Rat Knee

Six male Sprague Dawley rats were each injected and housed in the mannerof Example 2 using 20 μL of the Composition prepared according to theprocedure of Example 15. The animals were sacrificed at 2 days (about 2half-lives), 3 days (about 3 half-lives) and 4 days (about 4 half-lives)in groups of two and assayed in the manner of Example 2. The data, shownbelow in Table 8, indicate the average percent injected dose (% ID) ineach tissue/sample.

TABLE 8 Average % Injected Dose (% ID) of Ho-166 2 days 3 days 4 daysCalculated Blood 0.0 0.0 0.0 Heart 0.0 0.0 0.0 Lung 0.0 0.0 0.0Calculated Skeleton 0.0 0.0 0.0 Calculated Muscle 0.0 0.0 0.0 Liver 0.00.1 0.0 Spleen 0.0 0.0 0.0 Kidney 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0Lg. Intestine 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 Leg (injection site) 100.099.8 100.0 Urine/Feces 0.0 0.1 0.0

Example 17: Preparation of Composition (Lu-177, 2.4 M Urea, 0.1 M LuCl₃Heated 45 min)

Lu-177 was received from Perkin Elmer as lutetium chloride in a minimalvolume of 0.05 M HCl. 95 μL of 5 M urea was mixed with 95 μL of 0.2 MLuCl₃ and 10 μL of Lu-177 in a small screw cap conical micro-centrifugetube. The solution was mixed for 5 sec using a VWR mini vortexer. Thevial was then clamped onto a ring stand and lowered into a 100 mL beakerof water at about 90° C. for 45 min.

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Lu-177; and Formula (II) wherein q, v and r are all equal to 0, andM* is Lu-177.

Example 18: Composition of Example 17 Administered to Mouse Muscle andRat Knee

Six male BALB/c mice and six male Sprague Dawley rats were each injectedand housed in the manner of Example 2 using 20 μL of the Compositionprepared according to the procedure of Example 17. The animals weresacrificed at 12 days (about 2 half-lives), 19 days (about 3 half-lives)and 25 days (about 4 half-lives) in groups of two and assayed in themanner of Example 2. The data, shown below in Table 9, indicate theaverage percent injected dose (% ID) in each tissue/sample.

TABLE 9 Average % Injected Dose (% ID) of Lu-177 Mice Rats 12 19 25 1219 25 days days days days days days Blood 0.0 0.0 0.0 — — — Calculated —— — 0.0 0.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.00.0 0.0 Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.7 1.0 1.1Skeleton Left Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0Muscle Liver 0.0 0.0 0.0 0.1 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0Kidney 0.0 0.0 0.0 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg.Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0Carcass 0.2 0.2 0.2 — — — Leg (including 99.7  99.7  99.7  98.8  98.7 98.6  injection site) Urine/Feces 0.1 0.0 0.1 0.3 0.3 0.3

Example 19: Preparation of Composition (Y-90 Coated 2.0 μm MagneticHydroxyapatite Particles—Heat Initiated)

Y-90 was received from Perkin Elmer in a minimal volume of 0.05M HCl.Activity was measured to be about 1.187 mCi using a Capintec CRC-55 dosecalibrator. The activity concentration was adjusted to about 31.24μCi/μL by the addition of 0.05 M HCl.

2.1 μL of a 50 mg/mL slurry of 2.0 μm magnetic hydroxyapatite particles(chemicell GmbH) in distilled water was mixed with 209 μL of 8.6 M urea,10 μL of 0.3 M YCl₃ and 777 μL of distilled water in a screw capmicro-centrifuge tube and then mixed for 5 sec using a VWR minivortexer. With a micropipette, 375 μL was removed and placed in aseparate micro-centrifuge tube. 15 μL of the Y-90 solution (preparedabove) was added to the new vial. The activity was measured to be 381μCi. The vial was then clamped onto a ring stand and lowered into a 100mL beaker of water at about 90° C. for 4 hr. The mixture was shaken byhand every 30 min to re-suspend the particles.

After heating, the vial was placed next to a magnet for 2 min. Themagnetic particles were attracted to one side of the vial, allowing 325μL of the supernatant to be easily removed. The activity of thesupernatant was 19.02 μCi. To bring the particles back into suspension,325 μL of saline was added and then the mixture was vortexed for 5 sec.

The composition of this example is representative of both Formula (I)wherein t, b, c, r and v are all equal to 0, q and a are both equal to1, and M* is Y-90; and Formula (II) wherein v and r are both equal to 0,q is equal to 1, and M* is Y-90.

Example 20: Composition of Example 19 Administered to Mouse Muscle

Six male BALB/c mice were each injected, housed, sacrificed and assayedin the manner of Example 2 using 20 μL of the Composition preparedaccording to the procedure of Example 19. The data, shown below in Table10, indicate the average percent injected dose (% ID) in eachtissue/sample.

TABLE 10 Average % Dose Injection (% ID) of Y-90 6 days 8 days 11 daysBlood 0.0 0.0 0.0 Heart 0.0 0.0 0.0 Lung 0.0 0.0 0.0 Left Femur 0.0 0.00.0 Left Thigh 0.0 0.0 0.0 Liver 0.0 0.0 0.0 Spleen 0.0 0.0 0.0 Kidney0.0 0.0 0.0 Small Intestine 0.0 0.0 0.0 Large Intestine 0.0 0.0 0.0Stomach 0.0 0.0 0.0 Carcass 0.3 0.4 0.6 Leg (including injection site)99.5 99.5 99.3 Urine/Feces 0.2 0.1 0.1

Example 21: Preparation of Composition (Y-90 Coated 2.0 μm MagneticHydroxyapatite Particles—Urease initiated)

Y-90 was received from Perkin Elmer in a minimal volume of 0.05M HCl.Activity was measured to be about 1.18 mCi using a Capintec CRC-55 dosecalibrator. The activity concentration was adjusted to about 40 μCi/μLby the addition of 44 μL of 0.05 M HCl.

2.1 μL of a 50 mg/mL slurry of 2.0 μm magnetic hydroxyapatite particlesin distilled water was mixed with 209 μL of 8.6 M Urea, 10 μL of 0.3 MYCl₃ and 777 μL of distilled water in a screw cap micro-centrifuge tubeand then mixed for 5 sec using a VWR mini vortexer. With a micropipette,375 μL was removed and placed in a separate micro-centrifuge tube. 15 μLof the Y-90 solution (prepared above) was added to the new vial andmixed for 5 sec with the mini vortexer. Then 25 μL of anacetate-buffered, 20 mg/mL urease solution was added and the vial wasvortexed for 5 sec. The mixture was placed in a nutator for 1 hr withgentle agitation.

Afterwards, the vial was placed on a magnetic stand for 2 min. Themagnetic particles were collected on one side of the vial, allowing 360μL of the supernatant to be easily removed. To bring the particles backinto suspension, 360 μL of saline was added and the mixture was vortexedfor 5 sec.

The composition of this example is representative of both Formula (I)wherein t, b, c, r and v are all equal to 0, q and a are both equal to1, and M* is Y-90; and Formula (II) wherein v and r are both equal to 0,q is equal to 1, and M* is Y-90.

Example 22: Composition of Example 21 Administered to Mouse Muscle andRat Knee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample 21. The data, shown below in Table 11, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 11 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.0 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.0 0.00.0 Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.5 0.0 0.0 SkeletonLeft Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver0.0 0.0 0.0 0.1 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0 Kidney 0.0 0.00.0 0.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg. Intestine 0.00.0 0.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0 Carcass 0.1 0.6 0.0— — — Leg (including 99.8  99.2  100.0  98.3  98.2  99.1  injectionsite) Urine/Feces 0.1 0.2 0.0 1.1 1.8 0.9

Example 23: Preparation of Composition (Y-90 Coated 5.0 μmHydroxyapatite Particles—Heat Initiated)

Y-90 was received from Perkin Elmer in a minimal volume of 0.05M HCl.Activity was measured to be about 1.187 mCi using a Capintec CRC-55 dosecalibrator. The activity concentration was adjusted to about 31.24μCi/μL by the addition of 0.05 M HCl.

2.1 μL of a 50 mg/mL slurry of 5.0 μm hydroxyapatite particles(Fluidnova) in distilled water was mixed with 209 μL of 8.6 M urea, 10μL of 0.3 M YCl₃ and 777 μL of distilled water in a screw capmicro-centrifuge tube and mixed for 5 sec using a VWR mini vortexer.With a micropipette, 300 μL was removed and placed in a separatemicro-centrifuge tube. 12 μL of the Y-90 solution (prepared above) wasadded to the new vial. The activity was measured to be 380 μCi. A smalldisc-shaped magnetic stir bar was placed into the vial and the vial wasclamped onto a ring stand and lowered into a 100 mL beaker of water andstirred and heated at about 90° C. for 4 hr.

The composition of this example is representative of both Formula (I)wherein t, b, c, r and v are all equal to 0, q and a are both equal to1, and M* is Y-90; and Formula (II) wherein v and r are both equal to 0,q is equal to 1, and M* is Y-90.

Example 24: Composition of Example 23 Administered to Mouse Muscle andRat Knee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample 23. The data, shown below in Table 12, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 12 Average % Injected Dose (% ID) Mice Rats 6 8 11 6 8 11 daysdays days days days days Blood 0.0 0.0 0.0 — — — Calculated — — — 0.00.0 0.0 Blood Heart 0.0 0.0 0.0 0.0 0.0 0.0 Lung 0.0 0.0 0.0 0.0 0.0 0.0Left Femur 0.0 0.0 0.0 — — — Calculated — — — 0.9 0.8 0.2 Skeleton LeftThigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver 0.00.0 0.0 0.1 0.0 0.0 Spleen 0.0 0.0 0.0 0.0 0.0 0.0 Kidney 0.0 0.0 0.00.0 0.0 0.0 Sm. Intestine 0.0 0.0 0.0 0.0 0.0 0.0 Lg. Intestine 0.0 0.00.0 0.0 0.0 0.0 Stomach 0.0 0.0 0.0 0.0 0.0 0.0 Carcass 0.8 0.6 1.1 — —— Leg (including 98.7  98.8  98.4  97.8  97.7  98.3  injection site)Urine/Feces 0.5 0.6 0.5 1.2 1.5 1.5

Example 25: Preparation of Composition (Y-90 Coated 5.0 μmHydroxyapatite Particles—Urease Initiated)

Y-90 was received from Perkin Elmer in a minimal volume of 0.05M HCl.Activity was measured to be about 1.18 mCi using a Capintec CRC-55 dosecalibrator. The activity concentration was adjusted to about 40 μCi/μLby the addition of 44 μL of 0.05 M HCl.

2.1 μL of a 50 mg/mL slurry of 5.0 μm hydroxyapatite particles indistilled water was mixed with 209 μL of 8.6 M urea, 10 μL of 0.3 M YCl₃and 777 μL of distilled water in a screw cap micro-centrifuge tube. Thesolution was mixed for 5 sec using a VWR mini vortexer. With amicropipette, 375 μL was removed and placed in a separatemicro-centrifuge tube. 15 μL of the Y-90 solution (prepared above) wasadded to the new vial. The activity was measured to be 380 μCi. 20 μL ofan acetate-buffered, 20 mg/mL urease solution was added to the vial andplaced on a nutator for 1 hr with gentle agitation. The vial was thencentrifuged for 1.5 min on a setting of 10 RPM. 400 μL of thesupernatant was carefully removed with a micropipette. The activity ofthe removed supernatant was 21.1 μCi. To the original vial, 400 μL ofsaline solution was added and the vial was mixed with a mini vortexerfor 5 min.

The composition of this example is representative of both Formula (I)wherein t, b, c, r and v are all equal to 0, q and a are both equal to1, and M* is Y-90; and Formula (II) wherein v and r are both equal to 0,q is equal to 1, and M* is Y-90.

Example 26: Composition of Example 25 Administered to Mouse Muscle

Six male BALB/c mice were each injected, housed, sacrificed and assayedin the manner of Example 2 using 20 μL of the Composition preparedaccording to the procedure of Example 25. The data, shown below in Table13, indicate the average percent injected dose (% ID) in eachtissue/sample.

TABLE 13 Average % Dose Injection (% ID) of Y-90 6 days 8 days 11 daysBlood 0.0 0.0 0.0 Heart 0.0 0.0 0.0 Lung 0.0 0.0 0.0 Left Femur 0.0 0.00.0 Left Thigh 0.0 0.0 0.0 Liver 0.0 0.0 0.0 Spleen 0.0 0.0 0.0 Kidney0.0 0.0 0.0 Small Intestine 0.0 0.0 0.0 Large Intestine 0.0 0.0 0.0Stomach 0.0 0.0 0.0 Carcass 0.3 0.5 0.2 Leg (including injection site)99.5 99.3 99.8 Urine/Feces 0.2 0.3 0.0

Example 27: Preparation of Composition (Sn-117m, 0.005 M SnCl₄, 0.01 MYCl₃, 1.4 M Urea Heated 4 Hours)

Sn-117m in 4 N HCl with an activity concentration of about 63.1 mCi in 5μL. The acid concentration was decreased to about 1.1 M HCl by theaddition of 15 μL of 0.05 M HCl.

170 μL of 3 M Urea, 85 μL of 0.04 M YCl₃ in 0.05 M HCl, 85 μL of 0.02 MSnCl₄ in 0.05 M HCl and 18 μL of Sn-117m (prepared above) were mixed ina screw-cap micro-centrifuge tube. The solution was mixed for 5 secusing a VWR mini vortexer. The vial was then clamped onto a ring standand lowered into a 100 mL beaker of water at about 90° C. for 4 hr.

The composition of this example is representative of both Formula (I)wherein q, t, a, b and r are all equal to 0, c and p are both equal to1, and M is Y; and Formula (IV) wherein q and r are both equal to 0, pis equal to 1, and M is Y.

Example 28: Composition of Example 27 Administered to Rat Knee

Four male Sprague Dawley rats were each injected and housed in themanner of Example 2 using 20 μL of the Composition prepared according tothe procedure of Example 27. The animals were sacrificed at 13 days(about 1 half-life) and 28 days (about 2 half-lives) in groups of twoand assayed in the manner of Example 2. The data, shown below in Table14, indicate the average percent injected dose in each tissue/sample.

TABLE 14 Average % Injected Dose (% ID) of Sn-117m 13 days 28 daysCalculated Blood 0.0 0.0 Heart 0.0 0.0 Lung 0.0 0.0 Calculated Skeleton0.4 0.6 Calculated Muscle 0.0 0.0 Liver 0.0 0.0 Spleen 0.0 0.0 Kidney0.0 0.0 Sm. Intestine 0.0 0.0 Lg. Intestine 0.0 0.0 Stomach 0.0 0.0 Leg(injection site) 98.8 98.2 Urine/Feces 0.8 1.2

Example 29: Preparation of Composition (Sn-117m, 0.01 M SnCl₄, 0.47 MUrea Heated 4 hr)

170 μL of 1 M Urea, 170 μL of 0.02 M SnCl₄ in 0.05 M HCl and 18 μL ofSn-117m (prepared in Example 27) were mixed in a screw-capmicro-centrifuge tube. The solution was mixed for 5 seconds using a VWRmini vortexer. The vial was then clamped onto a ring stand and loweredinto a 100 mL beaker of water at about 90° C. for 4 hr.

The composition of this example is representative of both Formula (I)wherein q, t, a, b, p and r are all equal to 0, c is equal to 1; andFormula (IV) wherein q, p and r are all equal to 0.

Example 30: Composition of Example 29 Administered to Rat Knee

Three male Sprague Dawley rats were each injected and housed in themanner of Example 2 using 20 μL of the Composition prepared according tothe procedure of Example 29. One animal was sacrificed at 13 days (about1 half-life) and two animals were sacrificed at 28 days (about 2half-lives) and assayed in the manner of Example 2. The data, shownbelow in Table 15, indicate the average percent injected dose in eachtissue/sample.

TABLE 15 Average % Injected Dose (% ID) of Sn-117m 13 days 28 daysCalculated Blood 0.0 0.0 Heart 0.0 0.0 Lung 0.0 0.0 Calculated Skeleton0.0 0.0 Calculated Muscle 0.0 0.0 Liver 0.0 0.0 Spleen 0.0 0.0 Kidney0.0 0.0 Sm. Intestine 0.0 0.0 Lg. Intestine 0.0 0.0 Stomach 0.0 0.0 Leg(injection site) 99.9 99.9 Urine/Feces 0.1 0.1

Example 31: Preparation of Composition (Sn-117m, 0.004 M SnCl₄, 0.036 MFeCl₃, 2.25M Urea Heated 2 hr)

50 μL of 5 M Urea, 12 μL of 0.04 M SnCl₄ in 0.05 M HCl, 25 μL of 0.16 MFeCl₃ in 0.05 M HCl, 13 μL of DI water and 11 μL of Sn-117m (21.9 μCi)were mixed in a 1.5 mL screw-cap micro-centrifuge tube. The solution wasmixed for 5 sec using a VWR mini vortexer. The vial was then clampedonto a ring stand and lowered into a 100 mL beaker of water at about 90°C. for 2 hr. The final pH was 6.5-7.

The composition of this example is representative of both Formula (I)wherein q, a, b, p and r are all equal to 0, t and c are both equal to1; and Formula (V) wherein p is equal to 0.

Example 32: Composition of Example 31 Administered to Rat Knee

One male Sprague Dawley rat was injected and housed in the manner ofExample 2 using 20 μL of the Composition prepared according to theprocedure of Example 31. The animal was sacrificed at 4 days and assayedin the manner of Example 2. The data, shown below in Table 16, indicatethe average percent injected dose in each tissue/sample.

TABLE 16 Average % Injected Dose (% ID) of Sn-117m 4 days CalculatedBlood 0.0 Heart 0.0 Lung 0.0 Calculated Skeleton 0.3 Calculated Muscle0.1 Liver 0.0 Spleen 0.0 Kidney 0.0 Sm. Intestine 0.0 Lg. Intestine 0.0Stomach 0.0 Leg (injection site) 99.2 Urine/Feces 0.4

Example 33: Preparation of Composition (Y-90, 0.24 M Urea, 0.005 M YCl₃Heated 1.5 hr)

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05 M HCl. Activity was stated to be about 40 mCi.

95 μL of 0.5 M urea was mixed with 95 μL of 0.01 M YCl₃ and 10 μL of theY-90 solution in a small screw-cap conical micro-centrifuge tube. Theactivity was measured to be 30 mCi using a dose calibrator. The vial wasthen clamped onto a ring stand and lowered into a 500 mL beaker ofboiling water for 1.5 hr.

To this was then added 5 μL of 0.2% erioglaucine (1-D&C Blue #1) tocolor the solution for ease of visualization while dispensing.

The composition of this example is representative of both Formula (I)wherein q, t, b, c, r and v are all equal to 0, a is equal to 1, and M*is Y-90; and Formula (II) wherein q, v and r are all equal to 0, and M*is Y-90.

Example 34: Treatment of Canine Osteosarcoma

A 147 lb. (67 kg) male St. Bernard, 4 years old, was presented in painand limping. X-ray examination of the right distal radius indicated atumor of approximately 90 cc in volume. The tumor was diagnosed viabiopsy as being a Grade I or II osteosarcoma. Chest radiographsindicated no evidence of metastases to the lungs.

On the day of treatment, the dog was anesthetized and the area of thedistal radius shaved. The osteosarcoma was easily discernible.

Using custom-made three piece adapters (hypodermic, cortex, stylet) andmicro bone drill (Valco Instruments Company), a total of 38, 0.45 mmholes, 1 cm apart, 1-3 cm deep were drilled into the tumor. Thehypodermic adapter anchors to bone and becomes the guide for the wiredrill bit, the cortex adapter slides through the hypodermic adapter andextends into the hole drilled to avoid locational loss, the styletadapter slides through the cortex adapter to prevent loss of body fluidsand coagulation.

One at a time using a 10 μL syringe, the Y-90 composition preparedaccording to the procedure of Example 33 was injected into the tumorthrough each cortex adapter after removal of the stylet adapter.Depending upon the depth of the hole, 1, 2 or 3 injections of 1.5 μL(ca. 200 μCi) were made such that the 1 cm spacing was maintained. Atotal of 117 μL (ca. 17 mCi) was injected into the tumor. Dosimetrycalculations indicated that this quantity of composition, spaced asindicated, delivered a minimum of 50 Gy to the entire tumor mass. Theadapters were removed immediately after injection.

Scanning with a survey meter indicated all of the activity was localizedin the tumor.

The day following treatment, the dog was walking without a limp. As ofthe most recent examination (1½ months post treatment) blood work (CBC)and radiographs indicated no evidence of myelosuppression and noevidence of metastases. It is the opinion of independent clinicians aswell as the owner of the dog that this treatment had a positive effecton the dog's quality of life, they are pleased with progress to date andno side effects have been noted. Other observations include no loss ofappetite and continued pain relief without the need for pain medication.

Example A (Comparative): Preparation of Composition (Y-90, Saline)

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05M HCl. The activity concentration was adjusted to about200 μCi/μL by the addition of 11 μL of 0.05 M HCl to 1 μL of Y-90.Activity was measured to be 2500 μCi using a Capintec CRC-55 dosecalibrator.

420 μL of saline was mixed with 4 μL of the Y-90 solution (preparedabove) in a small screw cap conical micro-centrifuge tube. The solutionwas mixed for 5 sec using a VWR mini vortexer. The pH before drawingdoses for injection was approximately 4.7.

Example B (Comparative): Administering Composition of Example A to MouseMuscle and Rat Knee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample A. The data, shown below in Table 17, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 17 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.0 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.1 0.2 0.0 0.0 0.0 0.0 Lung 0.0 0.1 0.1 0.1 0.10.0 Left Femur 1.7 2.2 2.7 — — — Calculated — — — 42.9  37.6  48.0 Skeleton Left Thigh 0.0 0.0 0.0 — — — Calculated — — — 0.0 0.0 0.0Muscle Liver 2.6 2.0 1.7 0.9 0.8 0.3 Spleen 0.1 0.1 0.1 0.1 0.0 0.0Kidney 1.7 1.7 1.7 0.9 0.6 0.6 Sm. Intestine 0.3 0.2 0.2 0.2 0.2 0.1 Lg.Intestine 0.1 0.1 0.1 0.1 0.1 0.0 Stomach 0.1 0.1 0.1 0.2 0.3 0.1Carcass 40.7  47.9  51.3  — — — Leg (including 10.2  10.0  13.7  29.6 32.2  26.9  injection site) Urine/Feces 42.4  35.4  28.2  24.9  28.1 23.9 

Example C (Comparative): Preparation of Composition (Y-90, 1 M NaOH)

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05M HCl. The activity was measured to be about 10 mCi usinga Capintec CRC-55 dose calibrator. The activity concentration wasadjusted to about 50 μCi/μL by the addition of 0.05 M HCl.

190 μL of 1 M NaOH was mixed with 10 μL of the Y-90 (prepared above) ina small screw cap conical micro-centrifuge tube. The solution was mixedfor 5 sec using a VWR mini vortexer.

Example D (Comparative): Administering Composition of Example C to MouseMuscle and Rat Knee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample C. The data, shown below in Table 18, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 18 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.1 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.1 0.0 0.0 0.0 Lung 0.0 0.0 0.1 0.0 0.00.0 Left Femur 0.2 0.2 0.4 — — — Calculated — — — 4.9 5.1 7.8 SkeletonLeft Thigh 0.0 0.0 0.1 — — — Calculated — — — 0.0 0.0 0.0 Muscle Liver0.2 0.3 0.4 0.3 0.2 0.3 Spleen 0.0 0.0 0.1 0.0 0.0 0.0 Kidney 0.2 0.20.4 0.2 0.1 0.1 Sm. Intestine 0.0 0.0 0.2 0.0 0.0 0.0 Lg. Intestine 0.00.0 0.1 0.0 0.0 0.0 Stomach 0.0 0.0 0.2 0.0 0.0 0.0 Carcass 4.1 7.8 6.2— — — Leg (including 92.0  87.5  85.9  91.7  90.8  84.7  injection site)Urine/Feces 3.2 3.9 5.5 2.9 3.8 7.2

Example E (Comparative): Preparation of Composition (Y-90, 1 M Na₂CO₃)

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05M HCl. The activity was measured to be about 10 mCi usinga Capintec CRC-55 dose calibrator. The activity concentration wasadjusted to about 50 μCi/μL by the addition of 0.05 M HCl.

190 μL of 1 M Na₂CO₃ was mixed with 10 μL of the Y-90 (prepared above)in a small screw cap conical micro-centrifuge tube. The solution wasmixed for 5 sec using a VWR mini vortexer.

Example F (Comparative): Administering Composition of Example C to MouseMuscle and Rat Knee

Six male BALB/c mice and six male Sprague Dawley rats were eachinjected, housed, sacrificed and assayed in the manner of Example 2using 20 μL of the Composition prepared according to the procedure ofExample E. The data, shown below in Table 19, indicate the averagepercent injected dose (% ID) in each tissue/sample.

TABLE 19 Average % Injected Dose (% ID) of Y-90 Mice Rats 6 8 11 6 8 11days days days days days days Blood 0.0 0.0 0.1 — — — Calculated — — —0.0 0.0 0.0 Blood Heart 0.0 0.0 0.1 0.0 0.0 0.0 Lung 0.0 0.0 0.1 0.0 0.00.0 Left Femur 0.3 0.7 0.9 — — — Calculated — — — 16.0  16.8  20.9 Skeleton Left Thigh 0.0 0.0 0.1 — — — Calculated — — — 0.0 0.0 0.0Muscle Liver 0.5 1.2 0.9 3.2 1.2 1.3 Spleen 0.0 0.1 0.1 0.4 0.2 0.1Kidney 0.5 0.6 0.7 0.5 0.4 0.6 Sm. Intestine 0.1 0.1 0.2 0.1 0.1 0.1 Lg.Intestine 0.0 0.0 0.1 0.1 0.1 0.0 Stomach 0.0 0.1 0.1 0.2 0.1 0.1Carcass 8.3 15.7  15.8  — — — Leg (including 83.5  71.6  70.7  69.0 70.2  60.5  injection site) Urine/Feces 6.7 9.8 10.1  10.6  10.9  16.4 

Example G (Comparative): Ho-166 Chloride

Ho-166 in 0.1M HCl was obtained from MURR. The pH was measured with pHpaper showing a pH of about 1. A miniature drill was used to create ahole in the femur of an anesthetized Sprague Dawley rat. A miniaturepump was used to deliver 3 μL of Ho-166 solution into the hole createdby the drill. Two hours after the injection of the dose the rat wassacrificed and dissected. The amount of activity found in the site ofinjection was 5% of the injected dose. 52% of the dose was found in theliver and 23% of the dose was found in the rest of the bone.

Example H (Comparative): Preparation of Composition (Sm-153-DOTMP)

Sm-153 in 0.1 M HCl was obtained from MURR. The complex formed betweenSm-153 and DOTMP was prepared by combining 5 μL of Sm-153 with 5.6 μL ofa solution containing 13 mg/mL of DOTMP (previously adjusted to pH 7-8)and 4 μL of water. An additional 5 μL of DOTMP solution was added toobtain high complex yields. The amount of Sm found as a complex was 99%by ion exchange chromatography. DOTMP was prepared and purified by knownsynthetic techniques. The chelant was greater than 99% pure.

A miniature drill was used to create a hole in the femur of ananesthetized Sprague Dawley rat. A miniature pump was used to deliver 2μL of Sm-153-DOTMP solution into the hole created by the drill. Twohours after the injection of the dose the rat was sacrificed anddissected. The amount of activity found in the site of injection was 9%of the injected dose and about 20% was found in the rest of the bone. Anaverage of 65% of the injected dose was found in the urine.

Example I (Comparative): Preparation of Composition (Ho-166, 1 M NaOH,FeCl₃) and Administration to Mouse Muscle

Ho-166 was received from MURR as holmium chloride in 850 μL of 0.05 MHCl. The activity was measured to be 1 mCi using a Capintec CRC dosecalibrator. To increase the dose concentration, the solution was placedin a heating block at about 90° C. to evaporate the excess liquid. After40 min, the solution was removed from heat and 50 μL was removed andplaced in a small screw cap conical micro-centrifuge tube. The activityof the measured aliquot was 800 μCi. The final activity was 16 μCi perμL.

FeCl₃ solution was prepared by dissolving 0.0956 grams of FeCl₃·6H₂O in20 milliliters of distilled water. 27 μL of the H0-166 solution preparedabove was mixed with 500 μL of the FeCl₃ solution and placed in a smallscrew cap conical micro-centrifuge tube. 30 μL of 1 N NaOH solution wasadded with mixing and the reaction mixture was then agitated for 5 secusing a VWR mini-vortexer.

Two male BALB/c mice were each injected and housed in the manner ofExample 2 using 20 μL of the present Composition. The animals weresacrificed at 3 days and assayed in the manner of Example 2.Approximately 95.6% of the dose was found at the site of injection.However, 3.3% was found in the carcass (the carcass consists of theremaining musculoskeletal structure, reproductive organs, the skin,head, limbs and tail), 0.7% in the liver, 0.3% in the urine/feces, and0.1% in the kidneys.

Example J (Comparative): Preparation of Composition (Y-90, 1 M NaOH,FeCl₃) and Administration to Mouse Muscle

Y-90 was received from Perkin Elmer as yttrium chloride in a minimalvolume of 0.05 M HCl. The activity was adjusted to about 200 μCi/μL bythe addition of 11 lit of 0.05 M HCl to 1 μL of Y-90. Activity wasmeasured to be 2500 μCi using a Capintec CRC dose calibrator.

FeCl₃ solution was prepared by dissolving 0.0956 grams of FeCl₃·6H₂O in20 milliliters of distilled water. 27 μL of the Y-90 solution preparedabove was mixed with 500 μL of the FeCl₃ solution and placed in a smallscrew cap conical micro-centrifuge tube. 30 μL of 1 N NaOH solution wasadded with mixing and the reaction mixture was then agitated for 5 secwith a VWR mini-vortexer. An additional purification step was thenperformed which consisted in placing the micro-centrifuge tube in anEppendorf micro-centrifuge for 5 mM at 1600 RPM. After centrifuging, 450μL of the supernatant was carefully removed and placed in a separatevial. The activity of the supernatant was 24 μCi. 450 μL of saline wasadded to the original vial and was mixed for 5 sec using a minivortexer.

Two male BALB/c mice were each injected and housed in the manner ofExample 2 using 20 μL of the present Composition. The animals weresacrificed at 11 days and assayed in the manner of Example 2.Approximately 94.7% of the dose was found at the site of injection.However, 3.5% was found in the carcass (the carcass consists of theremaining musculoskeletal structure, reproductive organs, the skin,head, limbs and tail), 1.4% in the urine/feces, 0.1% in the liver, 0.1%in the kidneys, and 0.1% in the left femur.

Example K (Comparative): Preparation of Composition (Sn-117m-DTPA)

342 μL of a 50 mM diethylenetriaminepentaacetic acid (DTPA) solution wasmixed in a screw-cap micro-centrifuge tube with 20 μL of Sn-117msolution (prepared according to the procedure of Example 27). The vialwas placed on a rotational platform overnight. The solution was mixedfor 5 sec using a VWR mini vortexer. The complex yield was determined tobe 94% using a cation exchange column (SP Sephadex C-25, Sigma Aldrich).

Example L (Comparative): Composition of Example K Administered to RatKnee

Three male Sprague Dawley rats were each injected and housed in themanner of Example 2 using 20 μL of the Composition prepared according tothe procedure of Example K. One animal was sacrificed at 14 days (about1 half-life) and two animals were sacrificed at 28 days (about 2half-lives) and assayed in the manner of Example 2. The data, shownbelow in Table 20, indicate the average percent injected dose in eachtissue/sample.

TABLE 20 Average % Injected Dose (% ID) of Sn-117m 14 days 28 daysCalculated Blood 0.0 0.0 Heart 0.0 0.0 Lung 0.0 0.0 Calculated Skeleton28.0 30.0 Calculated Muscle 0.3 0.1 Liver 0.4 0.4 Spleen 0.0 0.0 Kidney0.4 0.3 Sm. Intestine 0.0 0.0 Lg. Intestine 0.0 0.0 Stomach 0.0 0.0 Leg(injection site) 31.2 22.6 Urine/Feces 39.5 46.6

Example M (Comparative): Preparation of Composition (Sn-117m-Citrate)

Sn-117m in 4 N HCl with an activity concentration of about 77 mCi in 10μL was mixed with 190 μL 0.1 M citric acid. The pH was 1-2. The pH wasadjusted from the initial 1-2 to 6-7 using NH₄OH and NaOH.

Example N (Comparative): Composition of Example M Administered to RatKnee

Two male Sprague Dawley rats were each injected and housed in the mannerof Example 2 using 20 μL of the Composition prepared according to theprocedure of Example M. The animals were sacrificed at 14 days (about 1half-life) and assayed in the manner of Example 2. The data, shown belowin Table 21, indicate the average percent injected dose in eachtissue/sample.

TABLE 21 Average % Injected Dose (% ID) of Sn-117m 14 days CalculatedBlood 0.0 Heart 0.0 Lung 0.0 Calculated Skeleton 22.8 Calculated Muscle0.7 Liver 0.3 Spleen 0.0 Kidney 0.7 Sm. Intestine 0.1 Lg. Intestine 0.1Stomach 0.0 Leg (injection site) 15.5 Urine/Feces 59.6

Example O (Comparative): Preparation of Composition (Sn(II)-117m, 0.01 MSnCl₄, 0.45 M Urea Heated 4 hr)

Stannous [Sn(II)] Sn-117m was obtained from Brookhaven NationalLaboratory with an activity concentration of 2 μCi/μL. 35 μL of thisSn(II)-117m was combined with 170 μL of 1 M Urea, 170 μL of 0.02 M SnCl₄in 0.05 M HCl in a screw-cap micro-centrifuge tube. The solution wasmixed for 5 sec using a VWR mini vortexer. The vial was then clampedonto a ring stand and lowered into a 100 mL beaker of water at about 90°C. for 4 hr.

Example P (Comparative): Composition of Example O Administered to RatKnee

Four male Sprague Dawley rats were each injected and housed in themanner of Example 2 using 20 μL of the Composition prepared according tothe procedure of Example O. The animals were sacrificed at 14 days(about 1 half-life) and at 28 days (about 2 half-lives) and assayed inthe manner of Example 2. The data, shown below in Table 22, indicate theaverage percent injected dose in each tissue/sample.

TABLE 22 Average % Injected Dose (% ID) of Sn-117m 14 days 28 daysCalculated Blood 0.0 0.0 Heart 0.0 0.0 Lung 0.0 0.0 Calculated Skeleton22.4 22.4 Calculated Muscle 0.1 0.0 Liver 0.5 0.3 Spleen 0.0 0.0 Kidney0.4 0.3 Sm. Intestine 0.1 0.0 Lg. Intestine 0.2 0.0 Stomach 0.0 0.0 Leg(injection site) 48.6 36.3 Urine/Feces 27.7 40.6

Example Q (Comparative): Preparation of Composition (Sn-117m, 0.02 MSnCl₄ 1 M NaOH)

Sn-117m in 4 N HCl was assayed to have an activity concentration of 5.1μCi/μL. 18 μL of this Sn-117m was combined with 170 μL of 0.02 M SnCl₄in 0.05 N HCl in a small screw cap conical micro-centrifuge tube. Tothis was added 100 μL of 1 M NaOH. The solution was mixed for 5 secusing a VWR mini vortexer.

Example R (Comparative): Composition of Example Q Administered to RatKnee

Two male Sprague Dawley rats were each injected and housed in the mannerof Example 2 using 20 μL of the Composition prepared according to theprocedure of Example Q. The animals were sacrificed at 7 days andassayed in the manner of Example 2. The data, shown below in Table 23,indicate the average percent injected dose in each tissue/sample.

TABLE 23 Average % Injected Dose (% ID) of Sn-117m 7 days CalculatedBlood 0.1 Heart 0.0 Lung 0.0 Calculated Skeleton 6.5 Calculated Muscle0.8 Liver 0.2 Spleen 0.0 Kidney 0.6 Sm. Intestine 0.0 Lg. Intestine 0.0Stomach 0.0 Leg (injection site) 74.5 Urine/Feces 17.1

Although the invention has been described with reference to itspreferred embodiments, those of ordinary skill in the art may, uponreading and understanding this disclosure, appreciate changes andmodifications which may be made which do not depart from the scope andspirit of the invention as described above or claimed hereafter.

What is claimed is:
 1. A composition comprising a Non-Sealed,radioactive pharmaceutically-acceptable composition of the formulaQ_(q)—T_(t)—C_(c)—R_(r)  Formula (I) wherein: Q is a Substrate of adifferent material from C_(c) entity, wherein such Substrate has theC_(c) entity deposited or adhered thereto; and is an injectable orimplantable Substrate that is either pharmaceutically-acceptable or canbe Coated to be pharmaceutically-acceptable; q is equal to 1 or 0,wherein 1 means the entity is present and 0 means the entity is notpresent; T is a non-radioactive iron hydroxide, iron oxide, gadoliniumhydroxide or gadolinium oxide; t is equal to 1 or 0, wherein 1 means theentity is present and 0 means the entity is not present; C isSn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y)·nH₂O}_(p), wherein: Sn is radioactivetin (IV)-117m but also contains non-radioactive tin isotopes; L ishydrous oxide, hydroxide, or oxyhydroxide such that Sn(L)_(u) is hydrousstannic oxide, stannic hydroxide, or stannic oxyhydroxide, or mixturesthereof; u is greater than 0; M is a Rare-earth Type Metal, or mixturethereof, wherein M can further include a radioactive Rare-earth TypeMetal selected from the group consisting of Y-90, Sm-153, Ho-116, orLu-177, or mixtures thereof; w, x and y are each independently greaterthan 0; n is greater than or equal to 0; and p is equal to 1 or 0,wherein when p is 0, then at least one of q, t or r is 1; c is equal to1; R is a Coat comprising a substance of a different composition thanC_(c) entity, which covers C_(c), and if q is 1, also Coats Substrate Q,and the resulting Coated composition is pharrnaceutically-acceptable forinfection; and r is equal to 1 or 0, wherein 1 means the entity ispresent and 0 means the entity is not present; with the provisos that ifeither q or t is equal to 1, then the other is equal to 0; each of u, v,w, x, y and z are of a numeric value, fractional values included, suchthat electrical neutrality is attained; and n is greater than or equalto 0 to provide optional water of hydration.
 2. The composition of claim1, wherein in Formula (I) t-is equal to 0, and is represented by theformula:Q_(q)—[Sn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y) ·nH₂O}_(p)]—R_(r)  Formula (IV)wherein: Q, Sn, L, M, R, q, u, w, x, y n, p and r are as defined forFormula (I) in claim 1, provided that at least one of q, p or r is
 1. 3.The composition of claim 1, wherein in Formula (I) t and c are equal to1 and q and r are equal to 0, and is represented by the formula:T—[Sn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y) ·nH₂O}_(p)]  Formula (V) wherein:T, Sn, L, u, w, x, y, n and p are as defined for Formula (I) in claim 1.4. The composition of claim 3 wherein the compound of Formula (V) has pequal to
 0. 5. The composition of claim 1, wherein Q is alumina, silica,barium titanate, metal oxides and hydroxides, polystyrene latex,hydroxyapatite, magnetic particles, polystyrene-polymethacrylatecopolymers, poly(lactic acid) particles, DL-lactide/glycolidecopolymers, stents, shunts, or various derivatives of these particlescontaining surface modifications.
 6. The composition of claim 5, whereinthe metal oxides and hydroxides are iron oxide, titanium dioxide, ironhydroxide, gadolinium hydroxide, or yttrium oxide.
 7. The composition ofclaim 5, wherein the magnetic particles are magnetite (Fe₃O₄), maghemite(gamma Fe₂O₃), or hematite (alpha Fe₂O₃).
 8. The composition of claim 1,wherein R polyethylene glycol (PEG), hydroxyapatite, poly(lactic acid),DL-lactide/glycolide copolymers, or various organic or inorganicpolymers and derivatives.
 9. A pharmaceutically-acceptable formulationof the composition of Formula (I) as defined in claim 1, comprising apharmaceutically-acceptable liquid suitable for injection.
 10. Theformulation of claim 9, further comprising one or morepharmaceutically-acceptable carriers, excipients, diluents, suspensionaids, preservatives, crystal growth modifiers or buffers.
 11. Thepharmaceutically-acceptable formulation of the composition of Formula(I) as defined in claim 1, wherein q is 1, which is coated onto a sternand suitable for implantation.
 12. A method of ablating an undesiredtissue mass of diseased cells in an animal or human in need of suchtreatment by administering a therapeutically-effective amount of aformulation comprising as the active ingredient a Non-Sealed,radioactive pharmaceutically-acceptahle composition of the formulaQ_(q)—T_(t)—A_(a)—B_(b)—C_(c)—R_(r)  Formula (I) wherein; Q is aSubstrate of a different material from A_(a)—B_(b)—C_(c) entity, whereinsuch Substrate has the A_(a)—B_(b)—C_(c) entity deposited or adheredthereto; and is an injectable or implantable Substrate that is eitherpharmaceutically-acceptable or can be Coated to bepharmaceutically-acceptable; q is equal to 1 or 0, wherein 1 means theentity is present and 0 means the entity is not present; T is anon-radioactive iron hydroxide, iron oxide, gadolinium hydroxide orgadolinium oxide; t is equal to 1 or 0, wherein 1 means the entity ispresent and 0 means the entity is not present; A isJ_(v)M*_(w)(OH)_(x)(CO₃)_(y)(AN)_(z)·nH₂O, wherein: J is a lanthanidemetal ion capable of forming hydroxy carbonate compounds; v is greaterthan or equal to 0; M* is radioactive Sm-153, Ho-166, Y-90, or Lu-177 ormixtures thereof, wherein their respective non-radioactive Rare-earthType Metal is usually present; w, x and y are each independently greaterthan 0; AN is a pharmaceutically-acceptable anionic moiety; and z and nare each independently greater than or equal to 0: a is equal to 1 or 0,wherein 1 means the entity is, present and 0 means the entity is notpresent; B is M*_(w)(OH)_(x)(CO₃)_(y)·nH₂O, wherein: M* is radioactiveSm-153, Ho-116, Y-90, or Lu-117 or mixtures thereof, wherein theirrespective non-radioactive Rare-earth Type Metal is usually present; w,x and y are each independently greater than 0; and n is greater than orequal to 0; b is equal to 1 or 0, wherein 1 means the entity is presentand 0 means the entity is not present; C isSn(L)_(u)—{M_(w)(OH)_(x)(CO₃)_(y)·nH₂O}_(p), wherein: Sn is radioactivetin (IV)-117m but also contains non-radioactive lin isotopes; L ishydrous oxide, hydroxide, or oxyhydroxide such that Sn(L)_(u) is hydrousstannic oxide, stannic hydroxide, or stannic oxyhydroxide, or mixturesthereof; u is greater than 0; M is a Rare-earth Type Metal, or mixturethereof, wherein M can further include a radioactive Rare-earth TypeMetal selected from the group consisting of Y-90, Sm-153, Ho-166, orLu-177, or mixtures thereof; w, x and y are each independently greaterthan 0; n is greater than or equal to 0; and p is equal to 1 or 0,wherein 1 means the entity is present and 0 means the entity is notpresent and p is 0 only when the undesired tissue mass of diseased cellsis other than an arthritis tissue mass; c is equal to 1 or 0, wherein 1means the entity is present and 0 means the entity is not present; R isa Coat comprising a substance of a different composition thanA_(a)—B_(b)—C_(c) entity, which covers A_(a)—B_(b)—C_(c) and if q is 1,also Coats Substrate Q, and the resulting Coated composition ispharmaceutically-acceptable for injection; and r is equal to 1 or 0,wherein 1 means the entity is present and 0 means the entity is notpresent; with the provisos that one and only one a, b and c are equal to1, the others being equal to 0; if either q or t is equal to 1, then theother is equal 0 each of u, v, w, x, y and z are of numeric value,fractional values included, such that electrical neutrality is attained;and n is, greater than or equal to 0 to provide optional water ofhydration; wherein the formulation has a pharmaceutically-acceptableliquid suitable for injection or one or more pharmaceutically-acceptablecarriers, excipients, diluents, suspension aids, preservatives, crystalgrowth modifiers or buffers to such animal or human by one injection ormultiple injections into or near the Non-intracavitary, undesired tissuemass, without systemic administration, wherein the portion of injecteddose remaining at the site of injection is greater than about 90% after2 half-lives of the radioactive isotopes.
 13. The method of claim 12,wherein the portion of injected dose remaining at the site of injectionis greater than about 95% after 2 half-lives of the radioactiveisotopes.
 14. The method of claim 12, wherein the undesired tissue massis a cancerous tissue mass selected from bone, prostrate, liver, lung,brain, muscle, breast, cervix and skin.
 15. The method of claim 14,wherein the cancerous tissue mass is located in bone and a device thatcan provide a suitable hole in bone is used to create a hole or multipleholes by which a needle or catheter can be inserted through the holesand a device capable of delivering small volumes of fluid is used todeliver the dose.
 16. A method of ablating an undesired tissue mass ofdiseased cells from arthritis in an animal or human in need of suchtreatment by administering a therapeutically-effective amount of aformulation wherein the formulation has a pharmaceutically-acceptableliquid suitable for injection or one or inurepharmaceutically-acceptable carriers, excipients, diluents, suspensionaids, preservatives, crystal growth modifiers or buffers comprising asthe active ingredient a compound of the Formula (I) as defined in claim1 to such animal or human by one injection or multiple injections intothe synovial cavity wherein the portion of injected dose remaining atthe site of injection is greater than about 90% after 2 half-lives ofthe radioactive isotopes.
 17. The method of claim 16 wherein the portionof injected dose remaining at the site of injection is greater thanabout 95% after 2 half-lives of the radioactive isotopes.
 18. A methodof ablating an undesired tissue mass of diseased cells in an animal orhuman in need of such treatment by administrating atherapeutically-effective amount of the composition of claim 7 in apharmaceutically-acceptable iliquid to such animal or human by oneinjection or multiple injections into or near the diseased cells,wherein the magnetite and/or maghemite particles are from about 10 toabout 50 nm, and wherein the composition in situ is exposed to analternating current magnetic field creating a hyperthermia temperaturefrom about 42 to about 46° C.
 19. A process for preparing thecomposition of Formula (I) as defined in claim 1 which comprises ahomogeneous precipitation procedure wherein: a radioactive Sn(IV)-117msalt and/or a radioactive metal salt selected from Sm-153, Ho-166, Y-90and Lu-177 are reacted either (a) in the presence of urea attemperatures greater than about 80° C., or (b) by enzymatic catalysisusing urease at about room temperature; both reactions in aaqueous-based solution, wherein the non-radioactive salt is alsopresent, and optionally, the solution may contain a non-radioactive ironor gadolinium salt.
 20. The method of ablating an undesired tissue massof diseased cells from arthritis in an animal or human in need of suchtreatment by administrating a therapeutically-effective amount of theformulation of claim 9 to such animal or human by one injection ormultiple injections into the diseased cells in the synovial cavitywherein the portion of injected dose remaining at the site ofinjectionis greater than about 90% after 2 half-lives of the radioactiveisotopes.